The diagnosis can be confirmed when the characteristic centrotemporal spikes are seen on electroencephalography (EEG). Typically, high-voltage spikes followed by slow waves are seen. Given the nocturnal activity, a sleep EEG can often be helpful. Technically, the label "benign" can only be confirmed if the child's development continues to be normal during follow-up. Neuroimaging, usually with an MRI scan, is only advised for cases with atypical presentation or atypical findings on clinical examination or EEG. The disorder should be differentiated from several other conditions, especially centrotemporal spikes without seizures, centrotemporal spikes with local brain pathology, central spikes in Rett syndrome and fragile X syndrome, malignant<unk> , temporal lobe epilepsy and Landau-Kleffner syndrome.
Rolandic epilepsy
Musicogenic epilepsy
Catamenial epilepsy
Vertiginous epilepsy
Frontal lobe epilepsy
Generalized epilepsy
Temporal lobe epilepsy
Northern epilepsy syndrome