(formerly called childhood epilepsy with centrotemporal spikes, benign epilepsy of childhood with centrotemporal spikes or Benign Rolandic Epilepsy)
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Self-Limited Epilepsy with Centrotemporal Spikes (SeLECTS), is the most common focal epilepsy syndrome of childhood, accounting for 15–20% of all childhood epilepsies.
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age-dependent epilepsy, with a typical onset at 5–8 years
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incidence is approximately 6.1 per 100,000 children aged <16 years per year (Specchio N et al., 2022)
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Both sexes are affected, with a slight male predominance (60%)
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Most of the time it is a self-limiting epileptic syndrome, with seizure remission within adolescence
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Seizures are overall relatively infrequent, with 60–70% of patients experiencing two to ten seizures lifetime and 10–20% only one
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Rarely Children with SeLECTS evolve to Developmental and/or Epileptic Encephalopathy with spike-wave activation in sleep (D/EE-SWAS)which is distinguished by cognitive and language regression
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D/EE-SWAS incorporates the several syndromes previously named Landau-Kleffner syndrome, Epileptic encephalopathy with continuous spike-waves during sleep and Atypical benign partial epilepsy (pseudo-Lennox syndrome). All these conditions share some EEG features.
