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Speech and Language Deterioration in Benign Rolandic Epilepsy

Department of Neurology Sydney Children's Hospital Randwick, New South Wales, Australia, School of Women's and Children's Health University of New South Wales Sydney, New South Wales, Australia, The Children's Hospital at Westmead Westmead, New South Wales, Australia

Jenny McIntyre, LACST

Sydney Children's Hospital Randwick, New South Wales, Australia Mark Sabaz, BSc(Hons)

Richard Webster, MBBS

Sydney Children's Hospital Randwick, New South Wales, Australia Mark Sabaz, BSc(Hons)

Suncica Lah, MSc

Sydney Children's Hospital Randwick, New South Wales, Australia Mark Sabaz, BSc(Hons)

John Lawson, FRACP

Department of Neurology Sydney Children's Hospital Randwick, New South Wales, Australia, School of Women's and Children's Health University of New South Wales Sydney, New South Wales, Australia

Andrew F. Bleasel, MBBS

Department of Neurology Sydney Children's Hospital Randwick, New South Wales, Australia, The Children's Hospital at Westmead Westmead, New South Wales, Australia

Ann M. E. Bye, MD

Department of Neurology Sydney Children's Hospital Randwick, New South Wales, Australia, byea{at}sesahs.nsw.gov.au., School of Women's and Children's Health University of New South Wales Sydney, New South Wales, Australia

A 5-year-old boy presented with typical clinical and electrophysiologic features of benign rolandic epilepsy. His neurodevelopment, language, and behavior prior to the onset of epilepsy were appropriately normal. He demonstrated marked deterioration of language and cognitive function during the course to a mild and then a moderate disability range. Serial sleep electroencephalographic recordings initially showed continuous and bilateral rolandic discharges with evolution to localized left rolandic spikes. Language and cognitive improvements were subsequently seen. Educational support and evolution of the electroencephalogram to a localized focus could have been contributory. It is anticipated, however, that he will have significant long-term problems in complex language. (J Child Neurol 2004;19:53—58).

Journal of Child Neurology, Vol. 19, No. 1, 53-58 (2004)
DOI: 10.1177/08830738040190010706


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