Study of eighty
patients with Benign
Epilepsy of the
Childhood with
Centrotemporales
Ears
NOTE: Translated
using software of
translation of
Spanish to English
Abstract
The Benign Epilepsy of Childhood with centrotemporal Spikes (BECCTS)
constitutes the most common form of idiopathic epilepsy in the
paediatric population.
We present 80 cases with this diagnosis analyzing its clinical
and electrophysiological characteristics, and particularly its
atypical evolution. Results: 71% were male (relation 2.5:1), the
partial motor seizures were the most frequent (40%) followed by
the partial generalized secondarily (35%). 75% of the seizures
appeared during sleep. The 66% of our patients were not
medicated and a patient showed an electro-clinical picture of
BECCTS and of Occipital Benign Epilepsy, Panayiotopoulos type,
in concomitant form. 5% evolved in atypical form: a patient as
atypical BECCTS with compromised language and hyperactivity,
another developed a continuous point-wave syndrome of slow sleep
and a patient debuted as focal epileptic state in hemi face with
anarthria. Conclusions: The present study remarks its
differential diagnosis and alerts about the phenomena of
secondary bisynchronism that can appear in this type of epilepsy,
the role that antiepileptic drugs play in its probable
appearance and the proper and adequate changes to avoid future
cognitive compromise. However, in 95% of our cases, the
evolution of the BECCTS was favourable.
Author:
Ecuadorian
magazine of neurology
