John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Typical semiology of benign childhood epilepsy with centrotemporal spikes (BCECTS) Volume 2, supplement 4, Supplément 1, Décembre 2000

University department of Neuropediatrics, Children's hospital, Schwanenweg 20, D-24105 Kiel, Germany.
  • Key words: rolandic epilepsy, typical semiology
  • Page(s) : 3-4
  • Published in: 2001

The ILAE (1989) has defined benign childhood epilepsy with centro-temporal spikes (BCECTS) as follows: BCECTS is a syndrome of brief, simple, partial, hemifacial motor seizures, frequently having associated somatosensory symptoms which have a tendency to evolve into generalised tonic clonic seizures (GTCS) [1]. Both seizure types are often related to sleep. Onset occurs between the ages of 3 and 13 years (peak 9-10 years) and recovery occurs before the age of 15-16 years. Genetic predisposition is frequent, and there is a male predominance. The EEG has blunt high-voltage centrotemporal spikes, often followed by slow waves that are activated by sleep and tend to shift or spread from side to side.