Dental treatment of epilepsy patients is often challenging and requires careful consideration of their sudden movements. Epilepsy patients often require sedation (e.g., nitrous oxide or intravenous sedation) to receive their required dental treatments. Rolandic epilepsy (RE) is a specific type of epilepsy in children with certain electroencephalogram (EEG) abnormalities and motor focal seizures with no signs of neurological deficits. This report discusses a case of an RE patient who was treated comprehensively under local anesthesia with careful evaluation of the patient's medical conditions.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155596 | PMC |
http://dx.doi.org/10.7759/cureus.37060 | DOI Listing |
Neurology
January 2025
Department of Neurology, Massachusetts General Hospital, Boston.
Background And Objectives: Rolandic epilepsy (RE), the most common childhood focal epilepsy syndrome, is characterized by a transient period of sleep-activated epileptiform activity in the centrotemporal regions and variable cognitive deficits. Sleep spindles are prominent thalamocortical brain oscillations during sleep that have been mechanistically linked to sleep-dependent memory consolidation in animal models and healthy controls. Sleep spindles are decreased in RE and related sleep-activated epileptic encephalopathies.
View Article and Find Full Text PDFInt J Neurosci
January 2025
Department of Functional Neurosurgery, Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Acad Radiol
November 2024
Department of Radiology, Affiliated Hospital of Zunyi Medical University, Medical Imaging Center of Guizhou Province, Engineering Research Center of Intelligent Medical Imaging in Guizhou Higher Education Institutions, Zunyi 563003, China (M.M., F.W., X.L., H.Y., H.L.). Electronic address:
Rationale And Objectives: Although dysfunction of the glymphatic system in adult epilepsy has been extensively studied, there is a lack of research on the changes in this system during childhood development, particularly in children with Rolandic epilepsy (RE). This study aimed to investigate the changes in diffusion MRI measures related to the glymphatic function in children with RE.
Materials And Methods: A total of thirty-eight children with RE and thirty-six demographically matched healthy children were enrolled in the study.
Epilepsy Behav
December 2024
Department of Neurology, Nanjing Brain Hospital, Nanjing Medical University, Nanjing, 210029 Jiangsu, China. Electronic address:
Introduction: Our aim was to use magnetoencephalography (MEG) and clinical features to early identify self-limited epilepsy with centrotemporal spikes (SeLECTS) patients who evolve into atypical SeLECTS (AS).
Methods: The baseline clinical and MEG data of 28 AS and 33 typical SeLECTS (TS) patients were collected. Based on the triple-network model, MEG analysis included power spectral density representing spectral power and corrected amplitude envelope correlation representing functional connectivity (FC).
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