Benign rolandic epilepsy: High central and low central subgroups

S. Legarda, P. Jayakar, M. Duchowny, L. Alvarez, T. Resnick

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

The spikes in benign rolandic epilepsy (BRE) typically involve both the central and midtemporal regions as recorded on standard EEG montages, but the seizures are characterized by sensorimotor manifestations that are rarely referable to the temporal lobe. To study this apparent disparity, we evaluated the field distribution of interictal spikes in 33 BRE patients using closely spaced electrodes (AEEGS 1990) arranged over perisylvian cortex. None of the 33 patients showed maximum negativity in the midtemporal regions (T3/T4). Instead, maximum negativity was evident in the high central region (C3/C4) in 10 children (30.3%) and in the low central region (C5/C6) in 23 (69.7%). Hand involvement was significantly frequent (50%) in the high central group, and drooling with oromotor involvement was a distinctive symptom (65.2%) in the low central group. Our findings indicate that the spikes in patients with BRE are exclusively suprasylvian in origin and correlate with two electroclinical subgroups.

Original languageEnglish
Pages (from-to)1125-1129
Number of pages5
JournalEpilepsia
Volume35
Issue number6
DOIs
StatePublished - Dec 20 1994

Fingerprint

Rolandic Epilepsy
Sialorrhea
Temporal Lobe
Electroencephalography
Electrodes
Seizures
Hand

Keywords

  • Benign rolandic epilepsy
  • Brain development
  • Centrotemporal Spikes
  • Parietal lobe
  • Sensorimotor seizures

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Legarda, S., Jayakar, P., Duchowny, M., Alvarez, L., & Resnick, T. (1994). Benign rolandic epilepsy: High central and low central subgroups. Epilepsia, 35(6), 1125-1129. https://doi.org/10.1111/j.1528-1157.1994.tb01777.x

Benign rolandic epilepsy : High central and low central subgroups. / Legarda, S.; Jayakar, P.; Duchowny, M.; Alvarez, L.; Resnick, T.

In: Epilepsia, Vol. 35, No. 6, 20.12.1994, p. 1125-1129.

Research output: Contribution to journalArticle

Legarda, S, Jayakar, P, Duchowny, M, Alvarez, L & Resnick, T 1994, 'Benign rolandic epilepsy: High central and low central subgroups', Epilepsia, vol. 35, no. 6, pp. 1125-1129. https://doi.org/10.1111/j.1528-1157.1994.tb01777.x
Legarda S, Jayakar P, Duchowny M, Alvarez L, Resnick T. Benign rolandic epilepsy: High central and low central subgroups. Epilepsia. 1994 Dec 20;35(6):1125-1129. https://doi.org/10.1111/j.1528-1157.1994.tb01777.x
Legarda, S. ; Jayakar, P. ; Duchowny, M. ; Alvarez, L. ; Resnick, T. / Benign rolandic epilepsy : High central and low central subgroups. In: Epilepsia. 1994 ; Vol. 35, No. 6. pp. 1125-1129.
@article{259604b855574700b90bab0e95ec7094,
title = "Benign rolandic epilepsy: High central and low central subgroups",
abstract = "The spikes in benign rolandic epilepsy (BRE) typically involve both the central and midtemporal regions as recorded on standard EEG montages, but the seizures are characterized by sensorimotor manifestations that are rarely referable to the temporal lobe. To study this apparent disparity, we evaluated the field distribution of interictal spikes in 33 BRE patients using closely spaced electrodes (AEEGS 1990) arranged over perisylvian cortex. None of the 33 patients showed maximum negativity in the midtemporal regions (T3/T4). Instead, maximum negativity was evident in the high central region (C3/C4) in 10 children (30.3{\%}) and in the low central region (C5/C6) in 23 (69.7{\%}). Hand involvement was significantly frequent (50{\%}) in the high central group, and drooling with oromotor involvement was a distinctive symptom (65.2{\%}) in the low central group. Our findings indicate that the spikes in patients with BRE are exclusively suprasylvian in origin and correlate with two electroclinical subgroups.",
keywords = "Benign rolandic epilepsy, Brain development, Centrotemporal Spikes, Parietal lobe, Sensorimotor seizures",
author = "S. Legarda and P. Jayakar and M. Duchowny and L. Alvarez and T. Resnick",
year = "1994",
month = "12",
day = "20",
doi = "10.1111/j.1528-1157.1994.tb01777.x",
language = "English",
volume = "35",
pages = "1125--1129",
journal = "Epilepsia",
issn = "0013-9580",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Benign rolandic epilepsy

T2 - High central and low central subgroups

AU - Legarda, S.

AU - Jayakar, P.

AU - Duchowny, M.

AU - Alvarez, L.

AU - Resnick, T.

PY - 1994/12/20

Y1 - 1994/12/20

N2 - The spikes in benign rolandic epilepsy (BRE) typically involve both the central and midtemporal regions as recorded on standard EEG montages, but the seizures are characterized by sensorimotor manifestations that are rarely referable to the temporal lobe. To study this apparent disparity, we evaluated the field distribution of interictal spikes in 33 BRE patients using closely spaced electrodes (AEEGS 1990) arranged over perisylvian cortex. None of the 33 patients showed maximum negativity in the midtemporal regions (T3/T4). Instead, maximum negativity was evident in the high central region (C3/C4) in 10 children (30.3%) and in the low central region (C5/C6) in 23 (69.7%). Hand involvement was significantly frequent (50%) in the high central group, and drooling with oromotor involvement was a distinctive symptom (65.2%) in the low central group. Our findings indicate that the spikes in patients with BRE are exclusively suprasylvian in origin and correlate with two electroclinical subgroups.

AB - The spikes in benign rolandic epilepsy (BRE) typically involve both the central and midtemporal regions as recorded on standard EEG montages, but the seizures are characterized by sensorimotor manifestations that are rarely referable to the temporal lobe. To study this apparent disparity, we evaluated the field distribution of interictal spikes in 33 BRE patients using closely spaced electrodes (AEEGS 1990) arranged over perisylvian cortex. None of the 33 patients showed maximum negativity in the midtemporal regions (T3/T4). Instead, maximum negativity was evident in the high central region (C3/C4) in 10 children (30.3%) and in the low central region (C5/C6) in 23 (69.7%). Hand involvement was significantly frequent (50%) in the high central group, and drooling with oromotor involvement was a distinctive symptom (65.2%) in the low central group. Our findings indicate that the spikes in patients with BRE are exclusively suprasylvian in origin and correlate with two electroclinical subgroups.

KW - Benign rolandic epilepsy

KW - Brain development

KW - Centrotemporal Spikes

KW - Parietal lobe

KW - Sensorimotor seizures

UR - http://www.scopus.com/inward/record.url?scp=0028075818&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028075818&partnerID=8YFLogxK

U2 - 10.1111/j.1528-1157.1994.tb01777.x

DO - 10.1111/j.1528-1157.1994.tb01777.x

M3 - Article

C2 - 7988499

AN - SCOPUS:0028075818

VL - 35

SP - 1125

EP - 1129

JO - Epilepsia

JF - Epilepsia

SN - 0013-9580

IS - 6

ER -