Sentrotemporal Diken Dalgalı Selim Epilepsi Hastalarının Demografik ve Elektroklinik Özelliklerinin Değerlendirilmesi

Self-limited epilepsy with centrotemporal spikes (SeLECTS), one of the most common epilepsy syndromes in childhood, is characterized by distinct electroencephalographic (EEG) findings and a high probability of spontaneous remission. This study aimed to evaluate the demographic, clinical, and EEG features of SeLECTS patients followed for at least two years at the Erciyes University Faculty of Medicine Department of Child Neurology and to compare the findings with the literature. A total of 102 patients, previously diagnosed with “Rolandic epilepsy”, were included. The male-to-female ratio was 1.2, and the mean age at diagnosis was 10.1±2.8 years. Most patients (86.3%) experienced their first seizure during sleep. Focal seizures occurred in 89.2% of patients, while 10.8% had generalized tonic-clonic seizures. The most common focal seizures symptoms were oropharyngolaryngeal (51.6%) and unilateral facial sensorimotor (34.1%). EEG revealed sharp waves in the centrotemporal region in 56.9% of cases. Carbamazepine, levetiracetam, and valproic acid were the most frequently used treatments, with combination therapy initiated when monotherapy was insufficient. Although SeLECTS is associated with a favorable prognosis, psychiatric comorbidities such as attention deficit, anxiety, and depression were detected in 18.6% of patients based on medical records. While seizure frequency and EEG findings improved during follow-up, these assessments are subjective and should not be regarded as objective outcomes. This study demonstrated that the demographic, electroclinical features, and treatment responses of SeLECTS patients were consistent with the literature, emphasizing the importance of regular follow-up for psychiatric comorbidities