Crisi focali morfeiche con sintomatologia affettiva

Diagnosi differenziale

Translated title of the contribution: Nocturnal partial seizures with affective symptomatology: Differential diagnosis

G. Prato, M. M. Mancardi, M. S. Vari, P. Striano, M. Pezzella, E. Veneselli, M. G. Baglietto

Research output: Contribution to journalArticle

Abstract

Nocturnal paroxysmal events with affective symptomatology may have various etiologies. Epileptic seizures with affective semiology in childhood consisting of brief and sudden panic symptoms associated with interictal spike-waves complexes in temporal regions. We describe three patients of (A) 6, (B) 5 and (C) 14 years old with paroxysmal nocturnal events in differential diagnosis with pavor nocturnes/panic attack/gastroesophageal reflux. In all the patients epilepsy started in preschool age with stereotyped episodes characterized by sudden awakening, terrifying expression, myoclonus palpebral uni/bilateral, and in B and C autonomic symptoms. Serial video-EEG showed seizures starting from the temporal regions. All the patients showed an evolution almost insensitive to drug therapy with spontaneous improvement. The neuroimaging showed no significant alterations. The stereotypical and overlapping characteristics of seizures and the lack of sensitivity to therapy appear to be suggestive of an age-related electro-clinical entity with unknown etiology and spontaneous benign course, as already suggested in the literature.

Original languageItalian
Pages (from-to)313-317
Number of pages5
JournalBollettino - Lega Italiana contro l'Epilessia
Issue number145
Publication statusPublished - Apr 2013

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Seizures
Differential Diagnosis
Temporal Lobe
Epilepsy
Panic
Myoclonus
Temazepam
Panic Disorder
Eyelids
Gastroesophageal Reflux
Neuroimaging
Electroencephalography
Drug Therapy
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Crisi focali morfeiche con sintomatologia affettiva : Diagnosi differenziale. / Prato, G.; Mancardi, M. M.; Vari, M. S.; Striano, P.; Pezzella, M.; Veneselli, E.; Baglietto, M. G.

In: Bollettino - Lega Italiana contro l'Epilessia, No. 145, 04.2013, p. 313-317.

Research output: Contribution to journalArticle

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