title: Sensorimotor seizures of pediatric onset with unusual posteriorly oriented rolandic spikes.
abstract: BACKGROUND
  Benign childhood epilepsy with centro-temporal spikes (BECCT) is usually associated with anteriorly oriented rolandic discharges. We report an unusual type of childhood-onset epilepsy with sensorimotor seizures associated with posteriorly oriented rolandic discharges.
  
  
  METHODS
  Among 942 patients who underwent simultaneous electroencephalography and magnetoencephalography (MEG) for epilepsy evaluation, we found 7 patients with sensorimotor seizures aged under 13 years at onset, with no abnormal magnetic resonance imaging findings, and posteriorly oriented rolandic discharges detected by MEG. Ictal and interictal symptoms were evaluated retrospectively.
  
  
  RESULTS
  All patients had rolandic seizures as well as atypical seizures, such as falling, head dropping, auditory hallucinations, postural symptoms and/or automatism. Seizures were medically intractable in 5 patients and well controlled in 2, one of whom had behavioral problems and the other had transient graphomotor impairment.
  
  
  CONCLUSIONS
  Posteriorly oriented rolandic discharges are better detected by MEG, and would exclude BECCT.
authors.affiliation: Department of Pediatrics, Tohoku University School of Medicine, Sendai, Miyagi, Japan.
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kakisaka
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Nakasato
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Haginoya
authors.forename: Akitake
authors.initials: A
authors.lastname: Kanno
authors.forename: Shigeru
authors.initials: S
authors.lastname: Tsuchiya
mesh_terms: D000328:Adult; D017668:Age of Onset; D001931:Brain Mapping; D002648:Child; D002675:Child, Preschool; D004569:Electroencephalography; D019305:Epilepsy, Rolandic / Q000503:physiopathology*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D015225:Magnetoencephalography / Q000379:methods; D008297:Male; D012189:Retrospective Studies; D012598:Sclerosis / Q000150:complications; D012640:Seizures / Q000503:physiopathology*; D055815:Young Adult