Benign Rolandic Epilepsy — RACP Paediatrics MCQ

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ModerateNeurology & DevelopmentBenign Rolandic EpilepsyRACP Paediatrics

A 9-year-old has nocturnal seizures with facial twitching, drooling, and speech arrest. EEG shows centrotemporal spikes. Diagnosis?

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Correct answer: A — Self-limited epilepsy with centrotemporal spikes (benign rolandic epilepsy)

Most common childhood epilepsy syndrome. Excellent prognosis with remission by adolescence.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Epilepsy