Answers
Samar Razaq in Difficult Cases in Primary Care, 2021
Benign rolandic epilepsy is among the commonest types of epilepsy in children. The child usually presents with the described abnormal neurology upon waking. The speech can be affected if seizure activity affects the throat. Drooling may be present. Seizure activity may progress to cause tonic–clonic seizures of the face and limbs on the same side. Occasionally the seizure may become generalised resulting in loss of consciousness and postictal confusion. An EEG may show centrotemporal spikes, a feature that is usually associated with a more favourable prognosis. Overall, in most children seizures will settle by the time the child reaches puberty. If seizures are frequent, anti-epileptic medication may be prescribed. Carbamazepine, lamotrigine and sodium valproate are effective options available.
Neurology and neurosurgery
Jagdish M. Gupta, John Beveridge in MCQs in Paediatrics, 2020
12.25. Abnormal EEGs are usually seen inchildhood absence epilepsy (petit mal).infantile spasms.in between breath holding attacks.Rolandic epilepsy.behaviour disorders.
Fragile X and X-linked Mental Retardation
Merlin G. Butler, F. John Meaney in Genetics of Developmental Disabilities, 2019
Seizures occur in approximately 23% of the cases (20). They are generally complex partial and generalized tonic-clonic seizures. The EEG studies have shown certain recurrent patterns including temporal or central spikes typical of benign rolandic epilepsy. Seizures are usually well controlled with anticonvulsants such as carbamazepine or valproic acid and do not usually persist into adulthood (21). Neuroimaging studies have reported volumetric anomalies such as asymmetrical ventriculomegaly (40% of the cases) (22), hippocampal and caudate nucleus hypertrophy, and a small posterior vermis (23-25).
EMD-WOG-2DCNN based EEG signal processing for Rolandic seizure classification
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2022
Tian Luo, Jialin Wang, Yuanfeng Zhou, Shuizhen Zhou, Chunhui Hu, Peili Yao, Yanjiong Zhang, Yi Wang
This study first concentrates on EEG identification of specific Rolandic epilepsy, which is the most common childhood benign epilepsy syndrome with characteristic EEG presentation in channel T3/T4/C3/C4. Another innovation point is to first combine EMD with a particular complex network of WOGs to represent EEG features. As explained above, a limited number of IMF were decomposed in the procedure of EMD, which may be due to the short segment of the original raw EEG signals. Next, we plan to extend the labelling interval, which may get more high-frequency oscillation to represent more EEG characteristics. Since the Rolandic EEG signals were obtained in our hospital, and there were no similar public datasets to verify our procedure's validity, we determined to collect more Rolandic data in other hospitals. Future research will also focus on expanding this EMD-WOG-2DCNN model to categorize different types of epilepsy beyond BECTs and implement this diagnostic system in the hospital.
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