{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T18:11:14Z","timestamp":1755799874695,"version":"3.44.0"},"reference-count":6,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T00:00:00Z","timestamp":1698278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of the Child Neurology Society"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We describe an unusual patient with self\u2010limited epilepsy in childhood to aid in the accurate diagnosis and timely treatment of an atonic variant of self\u2010limited focal epilepsy of childhood with centrotemporal spikes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed the medical records documenting the clinical presentation, diagnostic evaluation, and treatment. We also reviewed the relevant video electroencephalograms (EEGs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient Description<\/jats:title><jats:p>This 3\u2010year\u2010old girl with self\u2010limited focal epilepsy of childhood (formerly called benign rolandic epilepsy) began having recurrent falls. Multiple clinical seizures were recorded on video EEG. The video documented generalized loss of tone resulting in falls, while the ictal EEG revealed one\u2010second paroxysms of 4\u2009Hz spike\u2010slow\u2010wave discharges in the left centrotemporal region, followed by a brief generalized electrodecrement for 400\u2009milliseconds. These findings support the diagnosis of an atypical variant of benign epilepsy with centrotemporal spikes (BECTS), known as atonic\u2010BECTS. Valproic acid was maximized. On follow\u2010up, the patient was seizure\u2010free with a normal EEG and normal development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Few prior publications describe atonic\u2010BECTS. We present a child with atonic\u2010BECTS whose ictal video EEG confirms atonic seizures. While atonic seizures typically occur with generalized epilepsies, our report highlights that they can present as an atypical manifestation of self\u2010limited focal epilepsy in childhood.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cns3.20043","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T15:14:38Z","timestamp":1698333278000},"page":"320-323","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Atonic\u2010BECTS: An unusual presentation of self\u2010limited epilepsy in childhood"],"prefix":"10.1002","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4435-238X","authenticated-orcid":false,"given":"Varun","family":"Sampat","sequence":"first","affiliation":[{"name":"Division of Pediatric Neurology, Department of Neurology Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avantika","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurology, Department of Neurology Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hema","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurology, Department of Neurology Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"issue":"7","key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/j.1528-1167.2009.02210.x","article-title":"Atypical rolandic epilepsy","volume":"50","author":"Fejerman N","year":"2009","journal-title":"Epilepsia"},{"issue":"6","key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1111\/epi.17241","article-title":"International League Against Epilepsy classification and definition of epilepsy syndromes with onset in childhood: position paper by the ILAE Task Force on Nosology and Definitions","volume":"63","author":"Specchio N","year":"2022","journal-title":"Epilepsia"},{"issue":"1","key":"e_1_2_6_4_1","first-page":"S5","article-title":"Atypical semiology of rolandic epilepsy in some related syndromes","volume":"2","author":"Aicardi J","year":"2000","journal-title":"Epileptic Disord"},{"issue":"6","key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.braindev.2011.09.007","article-title":"Atonic variant of benign childhood epilepsy with centrotemporal spikes (atonic\u2010BECTS): a distinct electro\u2010clinical syndrome","volume":"34","author":"Cherian A","year":"2012","journal-title":"Brain Dev"},{"issue":"8","key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.seizure.2012.06.004","article-title":"Atonic phenomena in focal seizures: nomenclature, clinical findings and pathophysiological concepts","volume":"21","author":"Kovac S","year":"2012","journal-title":"Seizure"},{"issue":"11","key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1046\/j.1528-1157.2002.34501.x","article-title":"Partial epilepsy manifesting atonic seizure: report of two cases","volume":"43","author":"Satow T","year":"2002","journal-title":"Epilepsia"}],"container-title":["Annals of the Child Neurology Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cns3.20043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T05:17:00Z","timestamp":1755667020000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cns3.20043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,26]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/cns3.20043"],"URL":"https:\/\/doi.org\/10.1002\/cns3.20043","archive":["Portico"],"relation":{},"ISSN":["2831-3267","2831-3267"],"issn-type":[{"type":"print","value":"2831-3267"},{"type":"electronic","value":"2831-3267"}],"subject":[],"published":{"date-parts":[[2023,10,26]]},"assertion":[{"value":"2023-08-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}