title: Atypical features of benign rolandic epilepsy in Chinese children: Retrospective study.
abstract: BACKGROUND
  Benign rolandic epilepsy (BRE) is one of the most common focal epilepsies in childhood, but less typical clinical presentations may lead to misdiagnosis and incorrect treatment. The focus of this study was therefore to retrospectively investigate the less typical features of BRE in Chinese children.
  
  
  METHODS
  Data on 316 Chinese children with BRE were collected and analyzed.
  
  
  RESULTS
  A total of 7.3% of children complained of tension, fear and terror at the onset of a seizure, and 5.4% had been misdiagnosed with mesial temporal lobe epilepsy. Approximately 12.3% had post-ictal Todd's paresis, with 6.6% having been misdiagnosed and given incorrect treatment. Nineteen children (6%) had neuroradiologic abnormalities, which could lead to a diagnosis of symptomatic epilepsy. Twenty-five patients (8.0%) had cognitive deficits.
  
  
  CONCLUSIONS
  Greater recognition of, and further investigation into, the spectrum of BRE are needed.
authors.affiliation: Department of Neurology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
authors.forename: Xiuhe
authors.initials: X
authors.lastname: Zhao
authors.affiliation: Department of Neurology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
authors.forename: Aiqin
authors.initials: A
authors.lastname: Wang
authors.affiliation: Department of Neurology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
authors.forename: Shengjun
authors.initials: S
authors.lastname: Wang
authors.affiliation: Department of Neurology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
authors.forename: Tongxia
authors.initials: T
authors.lastname: Zhang
authors.affiliation: Department of Neurology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
authors.forename: Zhaofu
authors.initials: Z
authors.lastname: Chi
authors.affiliation: Department of Neurology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
authors.forename: Yiming
authors.initials: Y
authors.lastname: Liu
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D002648:Child; D002681:China; D004569:Electroencephalography; D019305:Epilepsy, Rolandic / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D059906:Neuroimaging; D012189:Retrospective Studies
chemical_list: D000927:Anticonvulsants
keywords: benign rolandic epilepsy; childhood; diagnosis; typical