〔Abstract〕 Objective To explore the visual motor integration ability and cognitive characteristics of children with benign epilepsy in children with central temporal spikes (BECT). Methods Children with BECT diagnosed for the first time in the Pediatric Clinic of Fujian Provincial Hospital from January 2016 to December 2020 were selected to assess their visual motor integration (VMI) ability and cognitive level. Results Among the 50 children with BECT, there were 35 cases (70.0%) in theabnormal VMI group and 15 cases (30.0%) in the normal VMI group. The VMI abnormal group has lower total IQ, four indexes, and each subtest score than the normal group, and the performance of each subtest is weak, the difference is statistically significant(P < 0.05). Conclusions Children with BECT generally have defects in visual motor integration, and those with abnormal VMI have a lower level of intelligence.