Outcome of benign childhood epilepsy with centro temporal spikes: A study of 24 cases

Abstract

Introduction: Benign childhood epilepsy with centrotemporal spikes (BECTS) is the most common form of benign childhood focal epilepsy. We conducted this study in order to describe the specific clinical characteristics and outcomes of BECTS in our area. Patients and methods: We conducted a retrospective study of all cases of BECTS treated by our department from January 2010 to December 2017. During this period, 24 children aged 2 to 16 years of age were diagnosed with BECTS and enrolled for long-term follow-up. Results: All patients had their first seizure between the ages of 3 and 11 years. Most patients presented with simple partial seizures (16/24, 66%), while 6 patients (25%) developed secondary generalized seizures. Five patients (20.8%) exhibited major behavioral problems at school and deficits in concentration. Conclusion: BECTS is a benign childhood epilepsy with generally favorable prognosis. However, a fraction of patients show learning disabilities and behavioral disturbances, particularly during the most active phase, and may require additional or continued therapy.