The diagnosis of reccurent nocturnal attacks of fear is often difficult, mainly in children. The differential diagnosis should consider: panic disorder, pavor nocturnus and epileptic seizures with affective symptomatology. This case report describes a chil affected by panic-like attacks during sleep, characterised by sudden awake, cry, screams, lasting 5-15 minutes, with very quick recovery. The morning after the attack the child did not remember the episode. The clinical picture, the family history (a brother was affected by Rolandic epilepsy), the interictal EEG recording (centro-temporal spike waves) and the response to valproic acid treatment suggest diagnosis of partial epilepsy with affective symptomatology. Videotape of seizures was an useful tool to confirm the correct diagnoisi.
|Translated title of the contribution||Differential diagnosis between partial epilepsy with affective symptomatology and pavor nocturnus: A case report|
|Number of pages||3|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - Jul 2003|
ASJC Scopus subject areas
- Clinical Neurology