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[Benign partial convulsions in adolescence].

R Caraballo1, S Galicchio, N Grañana

  • 1Servicio de Neurología, Hospital Nacional de Pediatría J.P. Garrahan, Buenos Aires, Argentina.

Revista De Neurologia
|June 11, 1999
PubMed
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Benign partial convulsions of adolescence (BPCA) are a transient epilepsy syndrome primarily affecting adolescent males, characterized by simple partial motor seizures with a benign course. These seizures typically occur during waking hours and often resolve spontaneously.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Epileptology

Background:

  • Benign partial convulsions of adolescence (BPCA) were first described by Loiseau and Orgogozo.
  • This study analyzes the clinical and electroencephalographic features of adolescent patients diagnosed with BPCA.

Observation:

  • A review of 125 patients with epilepsy onset between 10-18 years identified 14 fulfilling BPCA criteria.
  • The study analyzed demographics, seizure characteristics, neurological exams, and neuroimaging.
  • Follow-up ranged from 1 to 7 years (average 3.1 years).

Findings:

  • BPCA predominantly affects males (71.4%) with onset between 10-16 years (average 12 years).
  • Seizures were primarily simple partial motor (85.7%), frequently with secondary generalization (64.2%), brief, and occurred during waking hours (93%).

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  • Neurological examination, interictal EEG, and neuroimaging were consistently normal.

    • Implications:

    • BPCA represents a transient epilepsy syndrome with a favorable prognosis.
    • Understanding BPCA's characteristics aids in accurate diagnosis and management of adolescent epilepsy.
    • Normal diagnostic findings suggest a distinct pathophysiology for this epilepsy subtype.