Paediatrics: Benign Rolandic Epilepsy in Children: Free MSRA Podcast скачать в хорошем качестве

Paediatrics: Benign Rolandic Epilepsy in Children: Free MSRA Podcast

⚕️ FREE MSRA PODCAST – Benign Rolandic Epilepsy 🎧 A clear, high-yield breakdown of this common childhood epilepsy syndrome – perfect for exam prep and real-life clinical scenarios. 🧠 Key Learning Points 📌 Definition • Benign Rolandic Epilepsy (BRE) is a self-limiting childhood epilepsy presenting with focal seizures involving the face and mouth, often occurring during sleep. 📌 Causes & Risk Factors • Strong genetic component – family history of epilepsy common • Most cases linked to inherited susceptibility, not external triggers • Onset typically between ages 4–12 • Mnemonic: “Family and Genes for Focal Nighttime Seizures” 📌 Pathophysiology • Abnormal electrical discharges in the centrotemporal region of the brain • Seizures originate in the area controlling facial and oral movement • Self-limited – brain development usually outgrows abnormal activity 📌 Symptoms • Focal seizures: facial twitching, tingling, or numbness • Drooling, speech arrest, difficulty talking • Typically nocturnal (nighttime) and brief (1–2 minutes) • Child is usually otherwise well and developmentally normal • Mnemonic: “Focal Face, Frequent at Night” 📌 Differential Diagnosis • Panayiotopoulos syndrome • Childhood absence epilepsy • Frontal lobe epilepsy • Night terrors, syncope, reflex anoxic seizures, febrile convulsions • Migraine, sleep disorders, cardiac arrhythmias 📌 Diagnosis • Clinical history: focal nighttime seizures, facial involvement • EEG: Centrotemporal spikes, often more pronounced during sleep • MRI/CT only if atypical features or diagnosis uncertain • Tip: “Benign epilepsy with centrotemporal spikes” is in the name! 📌 Management • Most children do not require treatment (infrequent, mild seizures) • Watchful waiting if seizures are rare and not disruptive • Antiepileptic drugs (AEDs) if seizures are frequent, severe, or impact quality of life • Regular follow-up; individualised decision to start or stop medication • Education and safety measures to prevent injury at night 📌 Complications • Rare – main risk is injury during a seizure (e.g., falling out of bed, tongue biting) • Long-term neurological or developmental issues are very uncommon 📌 Prognosis • Excellent – most children outgrow BRE by adolescence • No impact on long-term development or quality of life for the vast majority 📎 More MSRA Resources for Benign Rolandic Epilepsy 📝 Revision Notes: https://www.passthemsra.com/topic/ben... 🧠 Flashcards: https://www.passthemsra.com/topic/ben... 💬 Accordion Q&A Notes: https://www.passthemsra.com/topic/ben... 🚀 Rapid Quiz: https://www.passthemsra.com/topic/ben... 🎓 Full Course: https://www.passthemsra.com/courses/p... #MSRA #MSRARevision #MSRATextbook #MSRAQuiz #MSRAQuestionBank #MSRAFlashcards #MSRAQ&ANotes #MSRAAccordions #MultiSpecialityRecruitmentAssessment #MSRAOnlineRevision #MSRARevisionWebsite #BenignRolandicEpilepsy