Summary:
Benign partial epilepsy with centrotemporal (CT) spikes (BECT) is one of the most frequent forms of
partial epileptic seizures in childhood. The author analyzes the character, frequency of seizures and
EEG findings in this form of epilepsy in a group of 20 children (10 boys and 10 girls) aged 3O12 years.
The first seizure occurred at the age of 2 11/12 to 11 10/12 years. Eleven children (55 %) had the seizure
at the age of 5O7 years, only one child before the age of 5 years. The seizures occurred mostly during
the night while the child was asleep (16 children, 80 %) as well as when falling asleep or when awakening.
Two children had seizures only in daytime, two children during sleep and in daytime. Simple partial
seizures (SPS) were typical in 14 children (70 %) corresponding to a focus in the sensomotor cortex.
30 % children had slightly generalized seizures (GS), 4 children SPS and GS. The frequency of seizures
was not high, on average twice a year, whereby one seizure was recorded in 5 children, le ss than three
seizures were observed in 10 children. 18 of 20 children had in the EEG when awake CT spikes, 6 children
bilateral spikes. In 15 children in the EEG during sleep or the EEG after sleep deprivation the frequency
of discharges increased, contralateral discharges were recorded (4 times) or generalized ones (5 times).
18 children were treated by antiepileptic drugs, most frequently carbamazepine and sulthiam. The
diagnosis of BECT in typical cases: SPS during sleep, EEG finding of CT spikes and their activation by
sleep is not difficult. In case of sporadic GS during sleep an EEG during sleep must be made. It is
important to take this form of epilepsy into account and to diagnose it to prevent unnecessary
examinations and frequently also treatment. The diagnosis of BECT makes it possible to assess
a favourable prognosis of the disease.
Key words:
benign partial epilepsy, centrotemporal spikes, childhood
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