Benign childhood epilepsy with centrotemporal spikes (BECTS), also known as Rolandic epilepsy, is the most commonly seen epileptic syndrome within the idiopathic group of epilepsies in childhood [1] and it constitutes 10%–20% of all childhood epilepsies [2]. Diagnosis is mainly established by a stereotypical interictal electroencephalography (EEG) pattern [3]. The hallmark of BECTS on EEG is centrotemporal spikes (CTS) that are typically activated by drowsiness and stage N2 sleep [4]. Within the same patient, CTS can be seen on right or left, frequently or rarely, alone or with spikes at other locations, or may appear small or giant in amplitude, suggesting that the abnormality is not focal in an anatomic sense but widely disseminated throughout the cortex [3,5].
MAY