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"Atypical forms" of benign epilepsy with centrotemporal spikes (BECTS): How to diagnose and guide these children. A

Pasquale Parisi1, Maria Chiara Paolino1, Umberto Raucci2

  • 1Child Neurology, Headache Paediatric Center, Paediatric Sleep Disorders, NESMOS Department, Chair of Pediatrics, Faculty of Medicine and Psychology, Sapienza University, c/o Sant'Andrea Hospital, Rome, Italy.

Epilepsy & Behavior : E&B
|September 4, 2017
PubMed

Insights

Benign epilepsy with centrotemporal spikes (BECTS), or rolandic epilepsy, is common in children. This review examines factors predicting cognitive decline in atypical BECTS cases.

Area of Science:

  • Neurology
  • Pediatric Epilepsy

Background:

  • Benign epilepsy with centrotemporal spikes (BECTS), also known as rolandic epilepsy, is the most frequent childhood epilepsy.
  • The "benign" classification is debated due to links with cognitive issues.

Purpose of the Study:

  • To review literature on predictive features of cognitive decline in BECTS.
  • To identify criteria for atypical BECTS forms and evolution.

Main Methods:

  • Literature review of studies on BECTS.
  • Analysis of clinical and electroencephalographic data.

Main Results:

  • Atypical BECTS forms are associated with worse prognosis and cognitive impact.
  • Abnormal electrical activity may disrupt neural network development.

Conclusions:

  • Identifying predictive features is crucial for managing BECTS.
  • Early detection of atypical forms can guide treatment and improve outcomes.

Keywords:
Atypical benign epilepsy with centrotemporal spikesBenign epilepsy with centrotemporal spikesBrain developmentCognitionElectroencephalographyRolandic epilepsy

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