For Pediatric Epilepsy Syndromes: Recognition and Management, let these findings guide decisions: Benign Rolandic Epilepsy: most common idiopathic localized childhood epilepsy; age 6-8; nocturnal; centrotemporal spikes on EEG, Childhood absence epilepsy: 3 Hz spike-and-wave; ethosuximide first-line, and Lennox-Gastaut: intellectual disability + mixed seizure types (tonic, atonic, atypical absence) + slow spike-wave <3 Hz. Use them when choosing therapy, counseling about risk, planning monitoring, and deciding when closer follow-up or escalation is needed.

Benign Rolandic Epilepsy: most common idiopathic localized childhood epilepsy, age 6-8, nocturnal, centrotemporal spikes on EEG; Childhood absence epilepsy: 3 Hz spike-and-wave, ethosuximide first-line; Lennox-Gastaut: intellectual disability + mixed seizure types (tonic, atonic, atypical absence) + slow spike-wave &lt,3 Hz; Landau-Kleffner: acquired childhood aphasia + abnormal EEG, 30% without clinical seizures; West syndrome (infantile spasms): ACTH preferred, vigabatrin for tuberous sclerosis