Rolandic Epilepsy Of Childhood Research Articles

The Clinical Implications of Todd Paralysis in Children With Benign Rolandic Epilepsy.

The aim of this study was to describe the clinical and electroencephalographic (EEG) findings of postictal Todd paralysis in benign rolandic epilepsy of childhood and find out the possible correlation with migraine. Based on International Headache Society pediatric migraine criteria, patients were investigated for migraine, and 12 of the 108 patients with benign rolandic epilepsy (6 girls and 6 boys, 11.1%) were found to have postictal Todd paralysis. Ten of these 12 patients (83.3%) had pediatric migraine based on the diagnostic criteria. We showed comorbidity of migraine and benign rolandic epilepsy with postictal Todd paralysis in children. Increased incidence of migraine in the present study suggest that children who have benign rolandic epilepsy and postictal Todd paralysis are more likely to have migraines.

Postictal Paresis in Children With Benign Rolandic Epilepsy

Following a search for the presence of postictal paresis in a cohort of 70 patients with benign rolandic epilepsy of childhood, the symptomatology of the seizures and the presence of postictal paresis were reviewed. All children underwent a neurologic evaluation, including electroencephalography (EEG) and neuroimaging. Eight of the 70 patients (3 girls and 5 boys) were found to have postictal paresis. All patients had partial motor seizures involving predominantly the upper extremities and, to a lesser degree, the face and lower extremities. In all eight patients, the motor deficits resolved within 60 minutes. Follow-up neurologic examination was nonfocal in all patients. Seven of the eight patients experienced postictal paresis once, and one patient had two such episodes. Three of the eight patients experienced a brief speech arrest. The EEG in all patients demonstrated centrotemporal sharp waves. In seven patients, the sharp waves were bilateral and independent, and in one patient, the rolandic sharp waves were unilateral. A horizontal dipole with positivity at the central region was found in all patients using an average montage. In conclusion, we found an 11.5% association of postictal paresis in children with benign rolandic epilepsy of childhood, whereas 38% of children also had a brief speech arrest. The EEG was characteristic for benign rolandic epilepsy of childhood with bilateral asynchronous discharges in seven of eight patients (83%) and the presence of dipole in all patients. The presence of postictal paresis should not exclude the diagnosis of benign rolandic epilepsy of childhood.

Attention Problems in Epilepsy

The relation of laterality of the epileptogenic focus to cognition and attention in 43 unmedicated children, mean age 10 years, with benign rolandic epilepsy of childhood was assessed at Clinica Neurologica Universita, Perugia, Italy.

O8 Event related desinchronization mapping in rolandic epilepsy of childhood

O8 Event related desinchronization mapping in rolandic epilepsy of childhood

Stability of source estimates in rolandic spikes.

The interictal spike discharges present in rolandic epilepsy has a dominant horizontal dipolar topography, centered near the rolandic area. In order to examine the generator configuration of this focus, we investigated the variation of spike topography in 20 children with rolandic epilepsy of childhood by the dipole localization method (DLM). A quantitative measure ("stability index" or SI) of the degree of source fluctuation was devised, based on the consistency of the source parameters (location, direction and magnitude) over contiguous time points. A high SI was associated with overlapping source locations and parallel directions over many time points, while a low SI was seen with poor and variable solutions. At the peak and trough of the spike, the corresponding sources were found to have different locations. If the patients were separated into those with and without neurological findings, the mean times at which stable sources existed were significantly different: 35 and 150 ms respectively after the spike apex. Further, the group without abnormal neurological findings tended to have higher values of SI. These results suggest that such stability analysis allows measurement of the spatial and temporal extents of source estimates. These results further support the hypothesis that the topographic behaviour of a spike focus is closely associated with its clinical characteristics.

Comparison of spike topography in typical and atypical benign Rolandic epilepsy of childhood

Comparison of spike topography in typical and atypical benign Rolandic epilepsy of childhood