儿童良性癫癎伴中央颞区棘波(BECT)是儿童时期常见的特发性局灶性年龄依赖性癫癎,典型的BECT预后良好,不伴神经系统缺陷。但近年研究发现不少BECT临床可为不典型表现。现主要对非典型BECT的临床发作形式、可伴有的神经心理及行为异常及治疗问题等方面的新进展进行综述,以提高临床医师对该病的认识。 Childhood benign epilepsy with central temporal spikes (BECT) is a common childhood idiopathic age-dependent epilepsy, a typical good prognosis of BECT without neurological deficits. But in recent years, many studies found that BECT can be atypical clinical manifestations. The main clinical manifestations of atypical BECT, the associated neuropsychological and behavioral abnormalities and treatment problems are reviewed in order to improve clinicians’ understanding of the disease.