Benign childhood epilepsy with centrotemporal spikes (Rolandic seizures)
Age at onset
Neurological and mental state
Hemifacial seizures (1/3 of patients) consist of clonic contractions of the lower lip, sometimes spreading to the arm. Inability to speak and hypersalivation are common concurrent symptoms.
Oro-pharyngo-laryngeal manifestations are unilateral numbness and dysesthesia inside the mouth, cheek, teeth, and tongue alone or usually with motor phenomena producing strange sounds such as death rattle, gargling, guttural sounds, and their combinations.
Duration is ~1 to 2 min but lasts longer if seizures progress to convulsions (1/3).
Reversible linguistic and learning abnormalities, usually mild, may be common.
CTS occur in 2% to 3% of normal school-age children and in a variety of organic brain diseases. They are age-dependent and disappear before age 16.
Frequency, location, and persistence of CTS do not determine clinical manifestations, severity, and frequency of seizures or prognosis.
Less than 1% progress to severe syndromes of linguistic, behavioral, and neuropsychological deficits.
*Expert opinion, please check FDA-approved indications and prescribing information
This page was adapted from:
The educational kit on epilepsies
Originally published by MEDICINAE
Reviewed and revised June 2008 by Steven C. Schachter, MD
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