Self-limited epilepsy with centrotemporal spikes: A case report

Abstract

Introduction: Self-Limited Epilepsy with Centrotemporal Spikes (SLECTS) is an epileptic syndrome that presents in preschool and school-aged children, characterized by focal somatosensory to bilateral tonic-clonic seizures, electroencephalographic findings are characterized by bilateral centrotemporal spikes activated during sleep. According to Lundberg and colleagues, hippocampal asymmetry has been evidenced in brain magnetic resonance imaging (MRI). Case Report: A male preschooler presented with a first seizure during sleep, of unknown onset, characterized by bilateral tonic-clonic movements, guttural sounds accompanied by ocular retroversion and sphincter relaxation, lasting less than 1 minute. Conclusions: SLECTS appears between the ages of 3 and 15 years. It presents as focal to bilateral seizures during sleep, with EEG abnormalities, and hippocampal asymmetry on MRI. It is a self-limiting or drug-responsive epilepsy of childhood.