Purpose

Self-limited epilepsy with centrotemporal spikes, formerly called benign epilepsy with centrotemporal spikes, or rolandic epilepsy, is an age-related and well-defined epileptic syndrome. Since seizures associated with rolandic spikes are infrequent and usually occur during sleep, and repetitive or prolonged EEG recording for diagnostic purposes is not necessary for diagnosis, reports of ictal video-electroencephalographic seizures in this syndrome are rare. We aimed to show ictal video-EEG of typical rolandic seizures.

Methods

We report the ictal video-EEG recordings of two children with rolandic epilepsy who presented typical rolandic seizures during routine recording.

Results

Case 1: A 9-year-old boy, with normal development, had his first seizure at 8 years old, characterized by paresthesia in his left face, blocking of speech, and drooling. Carbamazepine was started with seizure control. Case 2: A 10-year-old boy, with normal development, started with focal seizures during sleep, characterized by eye and perioral deviation, and speech arrest at age of 7. He started using oxcarbazepine. Both patients underwent routine electroencephalography for electroclinical diagnosis and presented a seizure.

Conclusion

Although self-limited epilepsy with centrotemporal spikes is a very common epileptic syndrome, seizure visualization is very difficult, and these videos may bring didactical information for recognition of this usual presentation of benign childhood focal epilepsy.

中文翻译：

---

自限性癫痫发作伴有颞叶尖峰发作：视频-EEG文档

目的

具有中央颞尖峰的自我限制型癫痫病，以前称为具有中央颞尖峰的良性癫痫病，或称罗兰性癫痫，是一种与年龄相关且定义明确的癫痫综合征。由于与rolandic峰值相关的癫痫发作很少见，通常在睡眠期间发生，并且不需要为诊断目的而重复或长时间记录EEG以进行诊断，因此很少有关于该综合征的发作性视频脑电图发作的报道。我们旨在展示典型的罗马尼亚癫痫发作的发作性视频EEG。

方法

我们报告了在常规记录过程中出现典型罗兰癫痫发作的两名罗兰癫痫患儿的发作性视频EEG录像。

结果

案例1：一个9岁的男孩，发育正常，在8岁时首次发作，其特征是左脸感觉异常，语言障碍和流口水。卡马西平开始控制癫痫发作。案例2：一个10岁的男孩，发育正常，开始时在睡眠中出现局灶性癫痫发作，其特征是眼球和口周偏离，并在7岁时出现言语停止。他开始使用奥卡西平。两名患者均接受常规脑电图检查以进行临床诊断并发作。

结论

尽管自我限制型癫痫伴中央颞尖峰是一种非常常见的癫痫综合症，但癫痫发作的可视化非常困难，这些视频可能会带来教学信息，以识别这种儿童期良性癫痫的常见表现。