Abstract
Benign childhood epilepsy with centrotemporal spikes (BECT) is classified as an idiopathic localization-related epilepsy. We report eleven disabled children whose electroencephalographic findings were similar Rolandic discharges (RD). Six had mental retardation, one had autism, one had mental retardation and spastic quadriplegia according to asphyxia, one had mental retardation and hemiplegia due to a migration disorder, and one had hemiplegia. Epileptic seizures were observed in nine patients, of whom two having generalized tonic and clonic convulsions, three had hemiconvulsions, two had complex partial seizures, one had sylvian seizure, and one had complex partial seizure with secondary generalization.
All patients had similar electroencephalographic features of RD in tarms of localization and wave form. On the other hand, horizontal di-polatity was seen in only 3 cases and sleep activation were in only 4 cases, and the epileptic discharges with six cases were an atypical form for RD. There is a little examination of the minute study of RD found in disabled children. So, I think that, furthermore, the study on chronological changes in the clinical features and electroencephalograms in disabled children with RD is necessary in future.
