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Self-limited epilepsy with centrotemporal spikes (SeLECTS) [previously known as rolandic epilepsy or childhood epilepsy with centrotemporal spikes (CECTS)], is one of the most common, childhood onset, focal epilepsy syndromes.[1,2] SeLECTS has an incidence of around 5 per 100,000 and accounts for around 10-20% of childhood epilepsies. [2,7] Seizures typically consist of brief hemifacial seizures that can sometimes progress to focal to bilateral convulsive seizures. [3] Historically it was thought that SeLECTS was “benign” and did not need treatment with anti-seizure medications (ASMs).