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[Epileptic seizures after recovery from an epilepsy with rolandic paroxysms (author's transl)]
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Epilepsy with rolandic paroxysmal foci (RPE) in infancy has a favorable prognosis, with seizure recurrence being rare in most cases. Most patients achieve good social adaptation, indicating a positive long-term outlook.
Area of Science:
- Neurology
- Pediatric Neurology
Background:
- Epilepsy with rolandic paroxysmal foci (RPE) is a specific epilepsy syndrome.
- Understanding the long-term prognosis of RPE is crucial for patient management.
Observation:
- A study examined 154 subjects with a history of RPE in infancy.
- 87 subjects were followed up to 20 years of age.
- Seizure recurrence was observed in 5 instances, primarily as generalized motor seizures.
Findings:
- Seizure recurrence in RPE appears to be infrequent and predominantly occurs in predisposed individuals.
- Treatment was discontinued in three cases with prolonged seizure freedom (2, 11, and 13 years).
- All patients demonstrated good social adaptation.
Implications:
- The findings support a highly favorable long-term prognosis for RPE.
- RPE management can potentially involve treatment discontinuation in cases of sustained remission.
- Early-onset RPE does not appear to significantly impede long-term social functioning.
Abstract:
154 subjects over 13 years of age were examined who had suffered from RPE (epilepsy with rolandic paroxysmal foci) in infancy (87 subjects were 20 years old). Seizures had reappeared 5 times, four of them being apparently, primary generalized motor seizures. Treatment was not resumed in 3 cases which had not had another seizure for 11, 13 and 2 years, respectively. All patients have shown a good social adaptation. Repetition of seizures seems very rare and only in predisposed subjects. The highly favourable prognosis for RPE is not disputed.