ROLANDIC EPILEPSY - AN INCIDENCE STUDY IN ICELAND

Purpose: We wished to determine incidence, clinical features, and prog nosis of benign rolandic seizures (BRS) and benign rolandic epilepsy ( BRE) in a total population. Methods;: Cases were ascertained through r eview of all EEG records, and diagnosis was verified by review of medi cal records. Follow-up information regarding seizures and treatment wa s obtained from parents and treating physicians. Results: In the Icela ndic population aged 3-15 years, the incidence of BRS is 6.2 and BRE 4 .7 in 100,000. Five years after onset 95% were seizure-free. At last f ollow-up, all were seizure free and had not been Created with antiepil eptic drugs (AEDs) for at least I year. Conclusions: Our study demonst rates that BRS is a common entity in children. The prognosis is excell ent and treatment is not necessary in all cases. It is important to id entify BRE/BRS correctly and distinguish it from other types of epilep sy.