Benign epilepsy generally refers to pediatric benign epilepsy, also known as benign partial seizure epilepsy, a type specific to childhood, which can be further divided into benign childhood epilepsy with central-temporal spikes, benign childhood epilepsy with paroxysmal discharges in occipital region, benign familial neonatal convulsions, benign neonatal convulsions, and benign infantile myoclonic epilepsy, etc. The manifestations of the different types are different.
1. Benign childhood epilepsy with central-temporal spikes: the disease starts at the age of 3 ~ 13 years, with peak incidence at the age of 9-10 years, which is more common in boys, and some patients have genetic predisposition. Seizures manifest as brief motor seizures on one side of the face or corner of the mouth, often accompanied by somatosensory symptoms, mostly occurring at night, with a tendency to generalize.
2. Benign childhood epilepsy with occipital paroxysmal discharges: the most common age 1 ~ 14 years old, seizures begin with visual symptoms, vomiting, followed by ocular myoclonus, lateral clonus, can also be combined with generalized tonic-clonic seizures and automatisms.
3. Benign familial neonatal convulsions: autosomal dominant inheritance, onset 2~3 days after birth, manifested as clonic or apnea, no characteristic changes in the EEG, about 14% of the patients develop epilepsy later.
4. Benign neonatal convulsions: onset about 5 days after birth, manifested by frequent and transient clonic or apneic seizures, seizures do not recur, psychomotor development is not affected.
5. Benign infantile myoclonic epilepsy: it develops at the age of 1 to 2 years, with a predominance of males, and is characterized by brief bursts of generalized myoclonus.
It is recommended that children with benign infantile epilepsy should go to the hospital in a timely manner and receive standardized treatment under the guidance of a doctor.