II. Epidemiology

  1. Onset in mid-childhood
  2. Family History of Rolandic Seizure: 25% of cases
  3. Occurs more in males

III. Symptoms

  1. Nocturnal Seizure
  2. Begins in face
  3. Variable generalization to tonic-clonic Seizure
  4. May present as Status Epilepticus

IV. Signs

  1. Normal exam
  2. Normal intelligence

V. Diagnosis: Electroencephalogram (EEG)

  1. Centrotemporal spikes
  2. Usually unilateral involvement

VI. Management: Prophylaxis

  1. Reserve prophylaxis if possible

VII. Course

  1. Majority of patients are Seizure-free after 5 years

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