Hyperkinetic manifestations in nocturnal frontal lobe epilepsy. Semeiological features and physiopathological hypothesis

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Abstract

Nocturnal frontal lobe epilepsy is a syndromic entity that includes paroxysmal episodes with variable semeiology, intensity and duration, representing different aspects of the same epileptic condition. In a large series studied by videopolysomnographic recording at the Department of Neurological Sciences in Bologna, we disclosed four main semeiological patterns: The paroxysmal arousals, brief simple motor phenomena, similar to a sudden arousal, recurring several times per night; the hypermotor seizures, more complex motor episodes with violent motor behaviour, vocalisation, screaming, fearful and repetitive movements of the trunk and limbs; asymmetric, bilateral tonic seizures, which can evoke the seizures from the frontal mesial area; and epileptic nocturnal wanderings, which can mimic sleepwalking episodes.

Original languageEnglish
JournalNeurological Sciences
Volume26
Issue numberSUPPL. 3
DOIs
Publication statusPublished - Dec 2005

Keywords

  • Epilepsy and sleep
  • Frontal lobe seizures
  • Hypermotor seizures
  • Nocturnal seizures

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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