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Centro-temporal benign epilepsy in Saudi children

M M Kabiraj1, S al Rajeh, A Awada

  • 1Division of Neurology and Clinical Neurophysiology, King Khalid University Hospital--King Saud University, Riyadh, Saudi Arabia.

Seizure
|April 1, 1997
PubMed
Summary

Benign childhood epilepsy with centro-temporal spikes (BECTS) is common in Saudi Arabia, often unrecognized by physicians. This study highlights its frequent diagnosis and excellent prognosis in children.

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Area of Science:

  • Pediatric Neurology
  • Epileptology

Background:

  • Benign childhood epilepsy with centro-temporal spikes (BECTS) is a common epilepsy syndrome in children.
  • Accurate diagnosis and recognition are crucial for appropriate management and prognosis.

Purpose of the Study:

  • To review interictal EEG findings in children diagnosed with BECTS.
  • To evaluate the clinical presentation, seizure characteristics, and treatment outcomes in a Saudi Arabian cohort.
  • To assess the prevalence and diagnostic challenges of BECTS in the region.

Main Methods:

  • Retrospective review of 36 interictal EEGs from children diagnosed with BECTS.
  • Analysis of seizure onset, clinical presentation, and EEG spike localization.
  • Follow-up assessment of seizure control and recovery rates.

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Main Results:

  • BECTS accounted for 31% of focal epileptic EEG activity.
  • Spikes were predominantly unilateral (78%), with a right-sided preponderance (22%).
  • Seizure onset occurred before age 5 in 53% and 6-10 years in 47%; lateralized seizures were common (60-75%).
  • Follow-up revealed complete recovery (31%), seizure-free on medication (47%), and good outcomes in most patients.

Conclusions:

  • BECTS is a prevalent epilepsy syndrome in Saudi Arabia, frequently underdiagnosed by general physicians.
  • The study confirms the generally excellent prognosis of BECTS with appropriate management.
  • Early recognition and diagnosis are vital for optimal patient outcomes.