Rolandic Epilepsy: An Incidence Study in Iceland

Purpose: We wished to determine incidence, clinical features, and prognosis of benign rolandic seizures (BRS) and benign rolandic epilepsy (BRE) in a total population. Methods: Cases were ascertained through review of all EEG records, and diagnosis was verified by review of medical records. Follow‐u...

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Bibliographic Details
Published in:Epilepsia (Copenhagen) 1998-08, Vol.39 (8), p.884-886
Main Authors: Astradsson, Arnar, Olafsson, Elias, Ludvigsson, Petur, Björgvinsson, Hilmar, Hauser, W. Allen
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Anticonvulsants - therapeutic use
Biological and medical sciences
Child
Child, Preschool
Electroencephalography
Epidemiology
Epilepsy
Epilepsy, Rolandic - diagnosis
Epilepsy, Rolandic - drug therapy
Epilepsy, Rolandic - epidemiology
Female
Follow-Up Studies
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Iceland
Iceland - epidemiology
Incidence
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Prognosis
Rolandic
Seizure
Sex Factors
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Summary:Purpose: We wished to determine incidence, clinical features, and prognosis of benign rolandic seizures (BRS) and benign rolandic epilepsy (BRE) in a total population. Methods: Cases were ascertained through review of all EEG records, and diagnosis was verified by review of medical records. Follow‐up information regarding seizures and treatment was obtained from parents and treating physicians. Results: In the Icelandic population aged 3–15 years, the incidence of BRS is 6.2 and BRE 4.7 in 100,000. Five years after onset 95% were seizure‐free. At last follow‐up, all were seizure free and had not been treated with antiepileptic drugs (AEDs) for at least 1 year. Conclusions: Our study demonstrates that BRS is a common entity in children. The prognosis is excellent and treatment is not necessary in all cases. It is important to identify BREBRS correctly and distinguish it from other types of epilepsy.
ISSN:0013-9580
1528-1167
DOI:10.1111/j.1528-1157.1998.tb01185.x