Dilemmas in diagnostics and therapy of rolandic epilepsy
Introduction. It is considered that around 20%-30% of patients of all ages and in all continents have wrong epilepsy diagnoses. Diagnostic and consequential therapeutic errors appear, most often, when an adequate diagnostics is not applied. Benign focal epilepsy of childhoods with centrotemporal...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2011-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501106526S.pdf |
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| author | Škrijelj Fadil Sokić Dragoslav |
| author_facet | Škrijelj Fadil Sokić Dragoslav |
| author_sort | Škrijelj Fadil |
| collection | DOAJ |
| description | Introduction. It is considered that around 20%-30% of patients of all ages and in all continents have wrong epilepsy diagnoses. Diagnostic and consequential therapeutic errors appear, most often, when an adequate diagnostics is not applied. Benign focal epilepsy of childhoods with centrotemporal spikes-rolandic epilepsy, brings very often to diagnostic and therapeutic problems because of persistence of epilepticforms changes in an electroencephalography (EEG) recording, several years after establishment of good control over seizures. Case report. We presented 8.5 years-old girl, with the first and the only epileptic seizure at the age of 5, during her sleep. With a clear correlation of EEG record, benign rolandic epilepsy was diagnosed, so the therapy with valproate was introduced. There were no seizures after three years of its implementation. Because of epileptic-forms changes that still persisted in EEG record during her sleep, it was suggested to further use valproate. However, after reconsidering all circumstances it was concluded that the AED should bee slowly reduced up to its exclusion. After a complete stoppage of the therapy, the patient did not have any epileptic seizure for nine months, although EEG still remained pathologically changed during her sleep. Conclusion. A changed EEG record in a patient with rolandic epilepsy must not be a predictor of continuation of antiepileptic drugs therapy, after 2-3 years of successful seizures remission. |
| format | Article |
| id | doaj-art-1110d48ebffc465ba6de18f4ac7a2c29 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-1110d48ebffc465ba6de18f4ac7a2c292025-08-20T01:58:55ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502011-01-0168652652810.2298/VSP1106526SDilemmas in diagnostics and therapy of rolandic epilepsyŠkrijelj FadilSokić DragoslavIntroduction. It is considered that around 20%-30% of patients of all ages and in all continents have wrong epilepsy diagnoses. Diagnostic and consequential therapeutic errors appear, most often, when an adequate diagnostics is not applied. Benign focal epilepsy of childhoods with centrotemporal spikes-rolandic epilepsy, brings very often to diagnostic and therapeutic problems because of persistence of epilepticforms changes in an electroencephalography (EEG) recording, several years after establishment of good control over seizures. Case report. We presented 8.5 years-old girl, with the first and the only epileptic seizure at the age of 5, during her sleep. With a clear correlation of EEG record, benign rolandic epilepsy was diagnosed, so the therapy with valproate was introduced. There were no seizures after three years of its implementation. Because of epileptic-forms changes that still persisted in EEG record during her sleep, it was suggested to further use valproate. However, after reconsidering all circumstances it was concluded that the AED should bee slowly reduced up to its exclusion. After a complete stoppage of the therapy, the patient did not have any epileptic seizure for nine months, although EEG still remained pathologically changed during her sleep. Conclusion. A changed EEG record in a patient with rolandic epilepsy must not be a predictor of continuation of antiepileptic drugs therapy, after 2-3 years of successful seizures remission.http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501106526S.pdfepilepsychildepilepsy, rolandicdiagnosiselectroencephalographytherapeutics |
| spellingShingle | Škrijelj Fadil Sokić Dragoslav Dilemmas in diagnostics and therapy of rolandic epilepsy Vojnosanitetski Pregled epilepsy child epilepsy, rolandic diagnosis electroencephalography therapeutics |
| title | Dilemmas in diagnostics and therapy of rolandic epilepsy |
| title_full | Dilemmas in diagnostics and therapy of rolandic epilepsy |
| title_fullStr | Dilemmas in diagnostics and therapy of rolandic epilepsy |
| title_full_unstemmed | Dilemmas in diagnostics and therapy of rolandic epilepsy |
| title_short | Dilemmas in diagnostics and therapy of rolandic epilepsy |
| title_sort | dilemmas in diagnostics and therapy of rolandic epilepsy |
| topic | epilepsy child epilepsy, rolandic diagnosis electroencephalography therapeutics |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501106526S.pdf |
| work_keys_str_mv | AT skrijeljfadil dilemmasindiagnosticsandtherapyofrolandicepilepsy AT sokicdragoslav dilemmasindiagnosticsandtherapyofrolandicepilepsy |