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Atypical features of benign rolandic epilepsy in Chinese children: Retrospective study
Author(s) -
Zhao Xiuhe,
Wang Aiqin,
Wang Shengjun,
Zhang Tongxia,
Chi Zhaofu,
Liu Yiming
Publication year - 2017
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13274
Subject(s) - medicine , epilepsy , rolandic epilepsy , paresis , ictal , pediatrics , retrospective cohort study , electroencephalography , radiology , surgery , psychiatry
Abstract Background Benign rolandic epilepsy ( BRE ) is one of the most common focal epilepsies in childhood, but less typical clinical presentations may lead to misdiagnosis and incorrect treatment. The focus of this study was therefore to retrospectively investigate the less typical features of BRE in Chinese children. Methods Data on 316 Chinese children with BRE were collected and analyzed. Results A total of 7.3% of children complained of tension, fear and terror at the onset of a seizure, and 5.4% had been misdiagnosed with mesial temporal lobe epilepsy. Approximately 12.3% had post‐ictal Todd's paresis, with 6.6% having been misdiagnosed and given incorrect treatment. Nineteen children (6%) had neuroradiologic abnormalities, which could lead to a diagnosis of symptomatic epilepsy. Twenty‐five patients (8.0%) had cognitive deficits. Conclusions Greater recognition of, and further investigation into, the spectrum of BRE are needed.