Rolandic epilepsy: Difference between revisions
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{{SI}} | |||
{{Infobox medical condition | |||
| name = Rolandic epilepsy | |||
| image = [[File:Central_sulcus_diagram.png|250px]] | |||
| caption = Diagram showing the [[central sulcus]] | |||
| field = [[Neurology]] | |||
| symptoms = [[Seizures]], [[twitching]] of [[face]] and [[mouth]], [[speech arrest]] | |||
| onset = Childhood, typically between ages 3 and 13 | |||
| duration = Usually resolves by adolescence | |||
| types = [[Benign childhood epilepsy with centrotemporal spikes]] | |||
| causes = [[Genetic]] factors | |||
| risks = Family history of epilepsy | |||
| diagnosis = [[Electroencephalogram|EEG]], [[clinical history]] | |||
| differential = [[Other types of epilepsy]], [[migraine]], [[sleep disorders]] | |||
| treatment = Often not required, but may include [[anticonvulsant]] medications | |||
| prognosis = Excellent, with most children outgrowing the condition | |||
| frequency = 10-20% of childhood epilepsy cases | |||
}} | |||
[[File:Central sulcus superior view.png|Rolandic epilepsy|thumb|left]] | |||
'''Rolandic epilepsy''' or '''benign rolandic epilepsy''' (BRE) is a type of [[childhood epilepsy]] that occurs in children and is characterized by [[seizure]]s that originate in the [[rolandic area]] of the brain. The seizures often occur during sleep and affect the face and throat muscles. The condition is typically outgrown by adolescence. | '''Rolandic epilepsy''' or '''benign rolandic epilepsy''' (BRE) is a type of [[childhood epilepsy]] that occurs in children and is characterized by [[seizure]]s that originate in the [[rolandic area]] of the brain. The seizures often occur during sleep and affect the face and throat muscles. The condition is typically outgrown by adolescence. | ||
== Symptoms == | == Symptoms == | ||
The primary symptom of rolandic epilepsy is [[partial seizure]]s that occur mostly at night. These seizures can cause a variety of symptoms, including: | The primary symptom of rolandic epilepsy is [[partial seizure]]s that occur mostly at night. These seizures can cause a variety of symptoms, including: | ||
* [[Twitching]], numbness, or tingling in the face or tongue | * [[Twitching]], numbness, or tingling in the face or tongue | ||
* Difficulty speaking or understanding speech | * Difficulty speaking or understanding speech | ||
| Line 10: | Line 26: | ||
* Unusual head or eye movements | * Unusual head or eye movements | ||
* Brief periods of unconsciousness | * Brief periods of unconsciousness | ||
== Causes == | == Causes == | ||
The exact cause of rolandic epilepsy is unknown. However, it is believed to be related to a combination of genetic and environmental factors. Some studies suggest that the condition may be inherited in an autosomal dominant manner, meaning that an affected person has a 50% chance of passing the disorder on to their children. | The exact cause of rolandic epilepsy is unknown. However, it is believed to be related to a combination of genetic and environmental factors. Some studies suggest that the condition may be inherited in an autosomal dominant manner, meaning that an affected person has a 50% chance of passing the disorder on to their children. | ||
== Diagnosis == | == Diagnosis == | ||
Rolandic epilepsy is typically diagnosed based on the characteristic symptoms and seizure patterns. A [[neurologist]] may also use an [[electroencephalogram]] (EEG) to detect abnormal electrical activity in the brain that is typical of the condition. | Rolandic epilepsy is typically diagnosed based on the characteristic symptoms and seizure patterns. A [[neurologist]] may also use an [[electroencephalogram]] (EEG) to detect abnormal electrical activity in the brain that is typical of the condition. | ||
== Treatment == | == Treatment == | ||
Treatment for rolandic epilepsy is usually not necessary, as the condition often resolves on its own by the time the child reaches adolescence. However, if the seizures are frequent or severe, medication may be prescribed to control them. In rare cases, surgery may be considered. | Treatment for rolandic epilepsy is usually not necessary, as the condition often resolves on its own by the time the child reaches adolescence. However, if the seizures are frequent or severe, medication may be prescribed to control them. In rare cases, surgery may be considered. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for children with rolandic epilepsy is generally good. Most children outgrow the condition by adolescence and do not experience any long-term neurological or cognitive effects. However, some children may experience learning difficulties or behavioral problems. | The prognosis for children with rolandic epilepsy is generally good. Most children outgrow the condition by adolescence and do not experience any long-term neurological or cognitive effects. However, some children may experience learning difficulties or behavioral problems. | ||
== See also == | == See also == | ||
* [[Epilepsy]] | * [[Epilepsy]] | ||
* [[Partial seizure]] | * [[Partial seizure]] | ||
* [[Childhood epilepsy]] | * [[Childhood epilepsy]] | ||
* [[Electroencephalogram]] | * [[Electroencephalogram]] | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
[[Category:Epilepsy]] | [[Category:Epilepsy]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 14:40, 9 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Rolandic epilepsy | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Seizures, twitching of face and mouth, speech arrest |
| Complications | N/A |
| Onset | Childhood, typically between ages 3 and 13 |
| Duration | Usually resolves by adolescence |
| Types | Benign childhood epilepsy with centrotemporal spikes |
| Causes | Genetic factors |
| Risks | Family history of epilepsy |
| Diagnosis | EEG, clinical history |
| Differential diagnosis | Other types of epilepsy, migraine, sleep disorders |
| Prevention | N/A |
| Treatment | Often not required, but may include anticonvulsant medications |
| Medication | N/A |
| Prognosis | Excellent, with most children outgrowing the condition |
| Frequency | 10-20% of childhood epilepsy cases |
| Deaths | N/A |
Rolandic epilepsy or benign rolandic epilepsy (BRE) is a type of childhood epilepsy that occurs in children and is characterized by seizures that originate in the rolandic area of the brain. The seizures often occur during sleep and affect the face and throat muscles. The condition is typically outgrown by adolescence.
Symptoms[edit]
The primary symptom of rolandic epilepsy is partial seizures that occur mostly at night. These seizures can cause a variety of symptoms, including:
- Twitching, numbness, or tingling in the face or tongue
- Difficulty speaking or understanding speech
- Drooling
- Unusual head or eye movements
- Brief periods of unconsciousness
Causes[edit]
The exact cause of rolandic epilepsy is unknown. However, it is believed to be related to a combination of genetic and environmental factors. Some studies suggest that the condition may be inherited in an autosomal dominant manner, meaning that an affected person has a 50% chance of passing the disorder on to their children.
Diagnosis[edit]
Rolandic epilepsy is typically diagnosed based on the characteristic symptoms and seizure patterns. A neurologist may also use an electroencephalogram (EEG) to detect abnormal electrical activity in the brain that is typical of the condition.
Treatment[edit]
Treatment for rolandic epilepsy is usually not necessary, as the condition often resolves on its own by the time the child reaches adolescence. However, if the seizures are frequent or severe, medication may be prescribed to control them. In rare cases, surgery may be considered.
Prognosis[edit]
The prognosis for children with rolandic epilepsy is generally good. Most children outgrow the condition by adolescence and do not experience any long-term neurological or cognitive effects. However, some children may experience learning difficulties or behavioral problems.
