Epilepsia rolândica relato de 53 casos

kowacs, Pedro André; Muszkat, Mauro; Albuquerque, Marly de; Campos, Carlos J. Reis de

doi:10.1590/S0004-282X1991000200007

Resumos

Descrição das características clínicas e do EEG de 53 pacientes de ambulatório atendidos no Setor de Investigação e Tratamento das Epilepsias da Escola Paulista de Medicina com diagnóstico de epilepsia rolândica. A média de idade (em anos) de início da epilepsia foi 5,5±3,2. As crises parciais simples motoras foram as mais frequentemente encontradas. Sete pacientes apresentaram déficit cognitivo. Observamos correlação clínico-EEG e manifestação clínica contralateral, nos focos localizados no hemisfério cerebral esquerdo; nos focos à direita, a manifestação clínica foi ipsilateral ao foco.

Sinonímia; epilepsia parcial benigna da infância com paroxismos centro-temporais; epilepsia parcial primária

The clinical and EEG features of 53 out-patients with benign partial epilepsy of childhood with rolandic spikes were studied. The age mean (years) of seizures onset was 5.5±3.2. Simple partial seizures with speech arrest were more frequent than other seizure types. In seven cases (13.2%) cognitive disabilities were present. In the left-side foci a expected correlation between the interictal EEG focus and clinical lateralization of seizure was observed; in the right-side foci, the right-side interictal focus was correlated with ipsilateral seizures.

Synonymy; benign partial epilepsy of childhood with centro-temporal spikes; benign epilepsy of children with centro-temporal EEG focus; mid-temporal epilepsy; benign focal epilepsy of childhood

CONTENTS CONTEÚDO

Epilepsia rolândica relato de 53 casos

Rolandic epilepsy: report of 53 cases

Pedro André kowacsI, ^**), (; Mauro MuszkatII, ^****).; Marly de AlbuquerqueII, ^****).; Carlos J. Reis de CamposIII, ^******), CAPES (

^IPós-Graduando (Mestrado) em Neurologia, EPM - Setor de Investigação e Tratamento das Epilepsias (SITE) da Disciplina de Neurologia da Escola Paulista de Medicina (EPM), Hospital São Paulo (HSP)

^IIMestre em Neurologia, Pós-Graduando (Doutorado) era Neurologia (EPM) - Setor de Investigação e Tratamento das Epilepsias (SITE) da Disciplina de Neurologia da Escola Paulista de Medicina (EPM), Hospital São Paulo (HSP)

^IIIProfessor Adjunto Doutor, Chefe do SITE - Setor de Investigação e Tratamento das Epilepsias (SITE) da Disciplina de Neurologia da Escola Paulista de Medicina (EPM), Hospital São Paulo (HSP)

RESUMO

Descrição das características clínicas e do EEG de 53 pacientes de ambulatório atendidos no Setor de Investigação e Tratamento das Epilepsias da Escola Paulista de Medicina com diagnóstico de epilepsia rolândica. A média de idade (em anos) de início da epilepsia foi 5,5±3,2. As crises parciais simples motoras foram as mais frequentemente encontradas. Sete pacientes apresentaram déficit cognitivo. Observamos correlação clínico-EEG e manifestação clínica contralateral, nos focos localizados no hemisfério cerebral esquerdo; nos focos à direita, a manifestação clínica foi ipsilateral ao foco.

Sinonímia: epilepsia parcial benigna da infância com paroxismos centro-temporais; epilepsia parcial primária.

SUMMARY

The clinical and EEG features of 53 out-patients with benign partial epilepsy of childhood with rolandic spikes were studied. The age mean (years) of seizures onset was 5.5±3.2. Simple partial seizures with speech arrest were more frequent than other seizure types. In seven cases (13.2%) cognitive disabilities were present. In the left-side foci a expected correlation between the interictal EEG focus and clinical lateralization of seizure was observed; in the right-side foci, the right-side interictal focus was correlated with ipsilateral seizures.

Synonymy: benign partial epilepsy of childhood with centro-temporal spikes; benign epilepsy of children with centro-temporal EEG focus; mid-temporal epilepsy; benign focal epilepsy of childhood.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Apoio financeiro: CNPq (

Dr. Carlos José Reis de Campos - Disciplina de Neurologia, Escola Paulista de Medicina - Rua Botucatu 740 - 04023 São Paulo SP - Brasil

1. Beaumanoir A, Ballis T, Varfis G, Ansari K. Benign epilepsy of childhood with rolandic spikes. Epilepsia 1974, 15:301-315.
2. Bilo L, Meo R, Perrone M, Striano S. Le epilepssie parziali «primarie». Acta Neurol 1986, 8:319-324.
3. Blom S, Heijbel J. Benign epilepsy of children with centro-temporal EEG foci: discharge rate during sleep. Epilepsia 1975, 16 : 133-140.
4. Blom S, Heijbel J. Benign epilepsy of children with centro-temporal EEG foci: a study of incidence rate in out-patient care. Epilepsia 1975, 16:133-140.
5. Blom S, Heijbel J. Benign epilepsy of children with centro-temporal EEG foci: a follow--up study in adulthood of patients initially studied as children. Epilepsia 1982, 23 : 629-632.
6. Blom S, Heijbel J, Bergfors PG. Benign epilepsy of children with centro-temporal EEG foci: prevalence and follow-up study of 40 patients. Epilepsia 1972, 23:629-632.
7. Bray PF, Wieser WC. Evidence for a genetic etiology of temporal-central abnormalities in focal epilepsy. N Engl J Med 1964, 271:926-933.
8. Bray PF, Wieser WC. A relation of focal to diffuse epileptiform discharges in genetic epilepsy. Arch Neurol 1965, 13:223-237.
9. Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for classification of epilepsies and epileptic syndromes. Epilepsia 1985, 26:268-278.
10. Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia 1989, 30:389-399.
11. Dalla Bernardina B, Chiament C, Capovilla G, Colamaria V. Benign partial epilepsies in childhood. In Roger J, Drawet C, Bureau M, Dreifuss PE, Wolf P (eds) : Epileptic Syndromes in Infancy, Childhood and Adolescence. London: John Libbey, 1985, p 137-149.
12. Gastaut H. Un element déroutant de la sémiologie électroencéphalographique: les pointes prérolandiques sans signification focale. Rev Neurol 1952, 87:488-490.
13. Gastaut H. A proposed completion of the current international classification of the epilepsies. In Rose C (ed) : Research Progress in Epilepsy (Progress in Neurology Series). London: Pitman, 1983, p 8-13.
14. Gastaut H, Zifkin BG. Classification of the epilepsies. J Clin Neurophysiol 1985, 2:313-326.
15. Gibbs EL, Gillen HW, Gibbs FA. Disappearence and migration of epileptic foci in childhood. Am J Dis Child 1954, 88:596-603.
16. Heijbel J, Blom S, Rasmuson M. Benign epilepsy of childhood with centrotemporal EEG foci: a genetic study. Epilepsia 1975, 16:285-293.
17. Hurst R, Lenn NJ. Partial seizures in monozygousi twins. Epilepsia 1986, 27:121-123.
18. Lerman P. Benign partial epilepsy with centro-temporal spikes. In Roger J, Drawet C, Bureau M, Dreifuss FE, Wolf P (eds) : Epileptic Syndromes in Infancy, Childhood and Adolescence. London: John Libbey, 1985, p 150-158.
19. Lerman P, Kivity S. Benign focal epilepsy of childhood : a follow-up study of 100 cases. Arch Neurol 1975, 32:261-264.
20. Loiseau P, Duche B, Cordova S, Dartigues JF, Cohadon S. Prognosis of benign childhood epilepsy with centro-temporal spikes: a follow-up study of 168 patients. Epilepsia 1988, 29:229-235.
21. Lombroso CT. Sylvian seizures and midtemporal spike foci in children. Arch Neurol 1967, 17:52-59.
22. Piccirilli M, D'Alessandro P, Tiacci C, Ferroni A. Language lateralization in children with benign partial epilepsy. Epilepsia 1988, 29:19-25.

^***

), CAPES (

^*

), (

^**

).

Datas de Publicação

Publicação nesta coleção
22 Fev 2011
Data do Fascículo
Jun 1991

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Beaumanoir A, Ballis T, Varfis G, Ansari K. Benign epilepsy of childhood with rolandic spikes. Epilepsia 1974, 15:301-315.

[2] 2. Bilo L, Meo R, Perrone M, Striano S. Le epilepssie parziali «primarie». Acta Neurol 1986, 8:319-324.

[3] 3. Blom S, Heijbel J. Benign epilepsy of children with centro-temporal EEG foci: discharge rate during sleep. Epilepsia 1975, 16 : 133-140.

[4] 4. Blom S, Heijbel J. Benign epilepsy of children with centro-temporal EEG foci: a study of incidence rate in out-patient care. Epilepsia 1975, 16:133-140.

[5] 5. Blom S, Heijbel J. Benign epilepsy of children with centro-temporal EEG foci: a follow--up study in adulthood of patients initially studied as children. Epilepsia 1982, 23 : 629-632.

[6] 6. Blom S, Heijbel J, Bergfors PG. Benign epilepsy of children with centro-temporal EEG foci: prevalence and follow-up study of 40 patients. Epilepsia 1972, 23:629-632.

[7] 7. Bray PF, Wieser WC. Evidence for a genetic etiology of temporal-central abnormalities in focal epilepsy. N Engl J Med 1964, 271:926-933.

[8] 8. Bray PF, Wieser WC. A relation of focal to diffuse epileptiform discharges in genetic epilepsy. Arch Neurol 1965, 13:223-237.

[9] 9. Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for classification of epilepsies and epileptic syndromes. Epilepsia 1985, 26:268-278.

[10] 10. Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia 1989, 30:389-399.

[11] 11. Dalla Bernardina B, Chiament C, Capovilla G, Colamaria V. Benign partial epilepsies in childhood. In Roger J, Drawet C, Bureau M, Dreifuss PE, Wolf P (eds) : Epileptic Syndromes in Infancy, Childhood and Adolescence. London: John Libbey, 1985, p 137-149.

[12] 12. Gastaut H. Un element déroutant de la sémiologie électroencéphalographique: les pointes prérolandiques sans signification focale. Rev Neurol 1952, 87:488-490.

[13] 13. Gastaut H. A proposed completion of the current international classification of the epilepsies. In Rose C (ed) : Research Progress in Epilepsy (Progress in Neurology Series). London: Pitman, 1983, p 8-13.

[14] 14. Gastaut H, Zifkin BG. Classification of the epilepsies. J Clin Neurophysiol 1985, 2:313-326.

[15] 15. Gibbs EL, Gillen HW, Gibbs FA. Disappearence and migration of epileptic foci in childhood. Am J Dis Child 1954, 88:596-603.

[16] 16. Heijbel J, Blom S, Rasmuson M. Benign epilepsy of childhood with centrotemporal EEG foci: a genetic study. Epilepsia 1975, 16:285-293.

[17] 17. Hurst R, Lenn NJ. Partial seizures in monozygousi twins. Epilepsia 1986, 27:121-123.

[18] 18. Lerman P. Benign partial epilepsy with centro-temporal spikes. In Roger J, Drawet C, Bureau M, Dreifuss FE, Wolf P (eds) : Epileptic Syndromes in Infancy, Childhood and Adolescence. London: John Libbey, 1985, p 150-158.

[19] 19. Lerman P, Kivity S. Benign focal epilepsy of childhood : a follow-up study of 100 cases. Arch Neurol 1975, 32:261-264.

[20] 20. Loiseau P, Duche B, Cordova S, Dartigues JF, Cohadon S. Prognosis of benign childhood epilepsy with centro-temporal spikes: a follow-up study of 168 patients. Epilepsia 1988, 29:229-235.

[21] 21. Lombroso CT. Sylvian seizures and midtemporal spike foci in children. Arch Neurol 1967, 17:52-59.

[22] 22. Piccirilli M, D'Alessandro P, Tiacci C, Ferroni A. Language lateralization in children with benign partial epilepsy. Epilepsia 1988, 29:19-25.