This chapter presents the clinical history, examination, diagnosis, follow-up, and the results of the procedures performed on a 7-year-old girl who was brought to her physician for episodes that occurred soon after going to bed. With each event, the mother heard an unusual sound of lip smacking and choking coming from the child's bedroom. Due to the stereotypic events, the patient underwent an MRI of her brain and sleep-deprived EEG. The diagnosis was benign epilepsy of childhood with centrotemporal spikes (BECTS). The patient's family gave a clear history of stereotypical events occurring soon after sleep onset. These events were accompanied by typical ictal manifestations of hemifacial spasms, drooling and jerking. The EEG findings of centrotemporal spikes in sleep supported the diagnosis of BECTS. Although, this child had the classical features of BECTS, patients may express similar behavioral events and have different types of epilepsy.