For Pediatric Epilepsy Syndromes: Recognition and Management, use the highest-yield facts to drive concrete treatment decisions. Pay particular attention to 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 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 EEGChildhood absence epilepsy: 3 Hz spike-and-wave; ethosuximide first-lineLennox-Gastaut: intellectual disability + mixed seizure types (tonic, atonic, atypical absence) + slow spike-wave &lt;3 HzLandau-Kleffner: acquired childhood aphasia + abnormal EEG; 30% without clinical seizuresWest syndrome (infantile spasms): ACTH preferred; vigabatrin for tuberous sclerosis