Nocturnal complex partial seizures precipitated by REM sleep. A case report.

Abstract:

:A 16-year-old patient presenting with complex partial seizures occurring in the transition from a REM period to wakefulness is described. His baseline EEG showed generalized and symmetrical slow spike and wave complexes, on a normal background activity, activated by NREM sleep. Polygraphic and videotape recordings, carried out for several nights, showed that after nearly each REM period, he would wake up briefly, presenting eye blinking followed by a burst of generalized hypersynchronous theta to start his seizures. These were characterized by moaning and autoaggressive behaviour, the ictal EEG showing generalized slow spike and wave complexes in the midst of several movement artifacts. At the end of each fit he fell back to REM sleep. Carbamazepine treatment completely resolved his symptoms, with full normalization of EEG activity.

journal_name

Eur Neurol

journal_title

European neurology

authors

Silvestri R,De Domenico P,Musolino R,Mento G,Marabello L,Longo M,Di Perri R

doi

10.1159/000116383

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

80-5

issue

2

eissn

0014-3022

issn

1421-9913

journal_volume

29

pub_type

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