Patients with SeLECTS may show “atypical” symptoms, such as starting their seizures early (<4 years old), having side effects from AEDs, having different types of seizures, having seizures that can't be controlled or a history of status epilepticus, having seizures during the day, having atypical
EEG abnormalities or peculiar
EEG abnormalities activation during sleep, and having developmental delay or neurologic deficits before the seizures start. It is important carry out cognitive and neuropsychological assessments at the time of diagnosis and during the follow-up to trace the trajectories of neuropsychological development of these patients more deeply.