Benign Centrotemporal Spikes in a Female Child with Rolandic Epilepsy: A Case Report

Benign Epilepsy with Centrotemporal Spikes (BECTS), also known as Rolandic epilepsy, is a common epilepsy syndrome that mainly affects children. It is more prevalent during the preschool and school years, with a higher incidence in males (M:F - 1.5:1). The present case report highlighted a case of a seven-year-old girl with typical Rolandic seizures with specific symptoms such as facial muscle contractions, drooling, and difficulty in speaking, which are common features of BECTS. The patient was immediately started on antiepileptic medication - Syp. Levetiracetam 5 mL BD and tab. clobazam 5 mg OD, due to the frequent nature of the seizures. A follow-up Electroencephalography (EEG) still showed centrotemporal spikes without clinical deterioration. Due to the benign progression, the antiepileptics were discontinued. In the present case report, the authors emphasised the importance of accurate diagnosis, reassurance for families and the need for follow-up in monitoring seizure frequency and severity, as BECTS typically resolves by adolescence and does not lead to long-term cognitive or neurological issues.