A 6-year-old child presents with abnormal twitching of the face during sleep, which is noticed by the mother. EEG shows spikes over the centro temporal area. What is the diagnosis?: (A) GTCS, (B) Rolandic epilepsy, (C) Absence seizure, (D) Subtle seizure
Answer is B. Benign Rolandic epilepsy MC epilepsy in children = Benign Rolandic epilepsy Benign childhood epilepsy with centro temporal spikes presents in children between 2-13 years. Seizures occur in sleep and focal seizures Self-limiting course by adolescence Inter-ictal EEG shows spike over centro temporal or Rolandic area Rx: Carbamazepine