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Living with Self-limited epilepsy with centrotemporal spikes

A childhood epilepsy with seizures starting between ages 3 and 14 that usually stops by the teen years.

Understanding Self-limited epilepsy with centrotemporal spikes

Self-limited epilepsy with centrotemporal spikes is a childhood epilepsy that usually starts between ages 3 and 14.

Seizures peak at ages 8 to 9 and usually stop by age 13, though occasionally they continue up to 18. Birth history, development, and thinking skills are normal before it starts. While seizures are active, some children have language or attention difficulties, which improve when seizures stop.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Seizures starting in one area of the brain
  • Facial twitching on one side
  • Drooling
  • Speech trouble during a seizure
  • Seizures during sleep
  • Seizures that spread to both sides

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with CureGRIN Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Does my child need seizure medicine?
How can we support language and attention at school?
When might the seizures stop?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant

GARD lists autosomal dominant inheritance, so one changed copy of a gene can be enough. It does not name a gene.

GeneticNeurological

Also known as: becrs; centralopathic epilepsy; centrotemporal epilepsy; centrotemporal epilepsy, isolated cases; childhood epilepsy with centrotemporal spikes; sylvan seizures

Patient organizations

Source: NIH GARD · Self-limited epilepsy with centrotemporal spikesGARD ID 10287 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Self-limited epilepsy with centrotemporal spikes.

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