Transient oromotor deficits in children with benign childhood epilepsy with central temporal spikes
U Kramer1, B Ben-Zeev, S Harel
1Child Developmental Center & Pediatric Neurology Unit, Tel Aviv Sourasky Medical Center, Israel. umkramer@netvision.net.il
Insights
Transient oromotor deficits, like dysarthria and drooling, can occur in benign childhood epilepsy with centrotemporal spikes (BCECTS) and are linked to increased seizure activity.
Area of Science:
- Pediatric Neurology
- Epileptology
- Clinical Neurophysiology
Background:
- Benign childhood epilepsy with centrotemporal spikes (BCECTS) is an idiopathic, age-specific epileptic syndrome known for its generally benign course.
- Oromotor deficits are not typically considered a primary feature of BCECTS, making their presentation noteworthy.
Observation:
- This study presents five children with BCECTS experiencing intermittent dysarthria and drooling outside of typical clinical seizure manifestations.
- These oromotor deficits were observed to correlate with increased seizure frequency in all affected children.
Findings:
- Electroencephalograms (EEGs) conducted during episodes of dysarthria in four children revealed focal electrographic seizures, confirming an ictal origin.
- The children presenting with these transient oromotor symptoms did not exhibit other distinguishing clinical features compared to typical BCECTS patients.
Implications:
- Transient oromotor dysfunction represents a rare ictal phenomenon in BCECTS, potentially indicating subclinical seizure activity.
- Recognizing these deficits as a rare ictal manifestation can aid in accurate diagnosis and management of BCECTS in children.
- This finding underscores the importance of considering ictal phenomena beyond overt motor seizures in pediatric epilepsy syndromes.
Purpose:
To describe transient oromotor deficits in benign childhood epilepsy with centrotemporal spikes (BCECTS), an idiopathic age-specific epileptic syndrome with a benign course.
Methods:
Five children with BCECTS and intermittent dysarthria and drooling not in the context of typical clinical seizures are presented.
Results:
The periods of oromotor deficits correlated with increased seizure frequency in all children. Concomitant EEGs that were recorded during periods of dysarthria in four of the children revealed focal electrographic seizures. The reported children did not differ from other patients with BCECTS in any other respect.
Conclusions:
Transient oromotor dysfunction is a rare ictal phenomenon that occurs in children with BCECTS with no other unique clinical features.
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