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What is the most common seizure type in benign childhood epilepsy with centrotemporal spikes (rolandic epilepsy)?
Simple partial seizures with motor symptoms involving the face
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What is the age of onset of benign childhood epilepsy with centrotemporal spikes?
3-13 years
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What are the EEG findings in benign childhood epilepsy with centrotemporal spikes?
- centrotemporal sharp waves - biphasic waves in repetitive bursts markedly activated in non-REM sleep
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What is the seizure type in Panayiotopoulos syndrome?
Seizures with prominent autonomic features - vomiting, pallor, miosis, incontinence, coughing, hypersalivation
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What are the EEG finding in Panayiotopoulos syndrome?
- Normal or normal background with high amplitude sharp and slow wave complexes similar to rolandic sharp waves. All brain regions involved with posterior predominance
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What is the prognosis of Panayiotopoulos syndrome?
Infrequent seizures that remit within 3 years of onset
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What is the mean age of presentation of benign occipital epilepsy of childhood?
8-9 years (range 3-16 yrs)
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What is the seizure type in benign occipital epilepsy?
- Visual symptoms - blindness or visual hallucinations.
- Hemiclonic activity, automatisims, migraine-like headache and versive movements can also occur
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What are the EEG findings in Benign occipital epilepsy?
Occipital sharp and slow wave complexes markedly activated by eye closure
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What are the clinical symptoms of raised intracranial pressure?
- Headache - noctural awakening or early morning, worsened by cough, micturition or defecation, recurrent or localised, progressively worsening
- Vomiting
- Altered level of consciousness
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What is the normal intracranial pressure?
- <15mmHg
- >20mmHg considered to be elevated ICP
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