Choking in the night due to NFLE seizures in a patient with comorbid OSA

Michele Terzaghi, Ivana Sartori, Riccardo Cremascoli, Valter Rustioni, Raffaele Manni

Research output: Contribution to journalArticle


Awakenings from sleep with gasping and feeling of choking can be due to nocturnal frontal lobe epilepsy (NFLE) as well as sleep apnea (OSA). We describe the case of an overweight man, referred to us with suspected OSA and reporting awakenings from sleep accompanied by gasping and a choking feeling, which proved to be, after investigation, NFLE seizures in a patient with comorbid OSA. We underline that gasping or choking on awakening, especially when accompanied by abnormal motorbehavioral manifestations, should be interpreted with caution. Careful investigation by means of video-polysomnography is warranted in selected cases, including patients with a strong clinical suspicion of sleep apnea.

Original languageEnglish
Pages (from-to)1149-1152
Number of pages4
JournalJournal of Clinical Sleep Medicine
Issue number10
Publication statusPublished - 2014


  • Epilepsy
  • Nocturnal frontal lobe epilepsy
  • Sleep
  • Sleep apnea

ASJC Scopus subject areas

  • Clinical Neurology
  • Pulmonary and Respiratory Medicine
  • Neurology

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