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KMID : 0877220030070010054
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Journal of Korean Epilepsy Society
2003 Volume.7 No. 1 p.54 ~ p.56
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Concomitance of Childhood Absence Epilepsy and Benign Rolandic Spikes
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Kang Tae-Hong
An Jun-Sung
Kim Sung-Eun
Hwang Tae-Guy
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Abstract
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Childhood absence epilepsy (CAE) and benign epilepsy of child-hood with centro-temporal spikes (BECT) are common forms of idi-opathic epilepsy of childhood onset and share many features such as the marked age dependence of onset. The occurrence of generalized 3 Hz spike and waves in BECT or rolandic spikes in CAE has rarely been reported. We report 2 cases of concomitance of CAE and benign rolandic spikes. All of the two patients were female and had clinically absence seizure only. On EEG the two patients simultaneously sho-wed centro-temporal spikes as well as ictal onset of absence seizure consisting of generalized 3 Hz spike and waves. All of the two pati-ents have become seizure-free with valporic acid. It is rare but not impossible that (Rolandic spikes can concur with CAE rather than as a continuum between CAE and BECT), because all of the two patients have not shown BECT so far.
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KEYWORD
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Childhood absence epilepsy, Benign epilepsy of childhood with centro-temporal spikes, Electroen-cephalogram
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