Soft partial epilepsy with needles in the central scrotal region

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Mild epilepsy with needles in the central-scrotal region (also called roan epilepsy or Roland epilepsy) - type of epilepsy characterized by the following characteristics:

Occurrence

Rochester epilepsy accounts for about 25% of all childhood epilepsy. The occurrence of needle foci in the lower part of the central furrow (the so-called Roland furrow) is inherited as a dominant autosomal feature and the expression of this feature (occurrence of symptoms) is age-dependent. The prevalence of epilepsy and febrile convulsions in relatives is a predominant feature of heredity. It is more common in girls than in boys. More than half of patients experience only nighttime seizures. It is characterized by a mild course and a tendency to spontaneously resolve at 9 to 12 years of age (up to the age of 16), although changes in EEG may persist for longer. Clinical picture

During an attack, the child remains conscious. During the robbery he can not speak, his face is twisted. The attack starts with a feeling of stiffness and then passing the current within the tongue, gums and cheek on one side of the face. In the case of night attacks, the attacks are usually accompanied by a baby cry. Nightings are more symptomatic and can be: Recognition

The disease is diagnosed on the basis of a typical clinical course. Confirmation of diagnosis makes it possible to test EEG, which shows characteristic changes. Treatment

In 10 - 15% of children the disease is limited to 1 attack. The occurrence of a single attack is not indicative of the use of antiepileptic drugs. In cases requiring treatment, carbamazepine or valproic acid is most commonly used. Bibliography

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