NREM parasomnias

Arousal disorders and differentiation from nocturnal frontal lobe epilepsy

Research output: Contribution to journalArticle

104 Citations (Scopus)

Abstract

Parasomnias emerging from NREM sleep such as sleep walking, sleep terrors and confusional arousals are considered arousal disorders. Nocturnal video-polysomnography is the gold standard to diagnosing and differentiating parasomnias from other arousals with atypical motor behaviors such as nocturnal frontal lobe epilepsy (NFLE). This from of nocturnal seizures with prominent dystonic-dyskinetic components, in some cases genetic, has been recently identified by means of detailed video-analysis of movements during sleep. The clinical picture of parasomnias (with onset in early childhood, rare episodes of long duration, absence of stereotypy, general disappearance after puberty) is different from that of NFLE (which first occurs between the age of 10 and 20, manifests frequent complex and repetitive behaviors of short duration excluding rare prolonged seizures, nocturnal agitation, some daytime complaints such as fatigue or sleepiness, persistence into adulthood). Patients show no difference from classical sleep parameters whilst microstructure analysis shows sleep instability and arousal fluctuations in parasomnias and NFLE. In children as well, at least in our experience, the differential diagnosis between the two disorders is difficult and requires one or more complete nocturnal video-polygraphic recording. In any case the diagnosis of NFLE should be considered in children with nocturnal motor episodes or nocturnal motor agitation, when the attacks persist; this diagnosis is probably more frequent that expected. (C) 2000 Elsevier Science Ireland Ltd.

Original languageEnglish
JournalClinical Neurophysiology
Volume111
Issue numberSUPPL. 2
DOIs
Publication statusPublished - Sep 1 2000

Fingerprint

Frontal Lobe Epilepsy
Parasomnias
Arousal
Sleep
Sleep Arousal Disorders
Seizures
Night Terrors
Somnambulism
Video Recording
Polysomnography
Puberty
Fatigue
Differential Diagnosis

Keywords

  • Arousal disorders
  • Nocturnal frontal lobe epilepsy
  • Parasomnia
  • Sleep

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)
  • Radiology Nuclear Medicine and imaging
  • Neurology
  • Sensory Systems

Cite this

@article{11f4602e9796463d97c0208bafb11be3,
title = "NREM parasomnias: Arousal disorders and differentiation from nocturnal frontal lobe epilepsy",
abstract = "Parasomnias emerging from NREM sleep such as sleep walking, sleep terrors and confusional arousals are considered arousal disorders. Nocturnal video-polysomnography is the gold standard to diagnosing and differentiating parasomnias from other arousals with atypical motor behaviors such as nocturnal frontal lobe epilepsy (NFLE). This from of nocturnal seizures with prominent dystonic-dyskinetic components, in some cases genetic, has been recently identified by means of detailed video-analysis of movements during sleep. The clinical picture of parasomnias (with onset in early childhood, rare episodes of long duration, absence of stereotypy, general disappearance after puberty) is different from that of NFLE (which first occurs between the age of 10 and 20, manifests frequent complex and repetitive behaviors of short duration excluding rare prolonged seizures, nocturnal agitation, some daytime complaints such as fatigue or sleepiness, persistence into adulthood). Patients show no difference from classical sleep parameters whilst microstructure analysis shows sleep instability and arousal fluctuations in parasomnias and NFLE. In children as well, at least in our experience, the differential diagnosis between the two disorders is difficult and requires one or more complete nocturnal video-polygraphic recording. In any case the diagnosis of NFLE should be considered in children with nocturnal motor episodes or nocturnal motor agitation, when the attacks persist; this diagnosis is probably more frequent that expected. (C) 2000 Elsevier Science Ireland Ltd.",
keywords = "Arousal disorders, Nocturnal frontal lobe epilepsy, Parasomnia, Sleep",
author = "Marco Zucconi and Luigi Ferini-Strambi",
year = "2000",
month = "9",
day = "1",
doi = "10.1016/S1388-2457(00)00413-2",
language = "English",
volume = "111",
journal = "Clinical Neurophysiology",
issn = "1388-2457",
publisher = "Elsevier Ireland Ltd",
number = "SUPPL. 2",

}

TY - JOUR

T1 - NREM parasomnias

T2 - Arousal disorders and differentiation from nocturnal frontal lobe epilepsy

AU - Zucconi, Marco

AU - Ferini-Strambi, Luigi

PY - 2000/9/1

Y1 - 2000/9/1

N2 - Parasomnias emerging from NREM sleep such as sleep walking, sleep terrors and confusional arousals are considered arousal disorders. Nocturnal video-polysomnography is the gold standard to diagnosing and differentiating parasomnias from other arousals with atypical motor behaviors such as nocturnal frontal lobe epilepsy (NFLE). This from of nocturnal seizures with prominent dystonic-dyskinetic components, in some cases genetic, has been recently identified by means of detailed video-analysis of movements during sleep. The clinical picture of parasomnias (with onset in early childhood, rare episodes of long duration, absence of stereotypy, general disappearance after puberty) is different from that of NFLE (which first occurs between the age of 10 and 20, manifests frequent complex and repetitive behaviors of short duration excluding rare prolonged seizures, nocturnal agitation, some daytime complaints such as fatigue or sleepiness, persistence into adulthood). Patients show no difference from classical sleep parameters whilst microstructure analysis shows sleep instability and arousal fluctuations in parasomnias and NFLE. In children as well, at least in our experience, the differential diagnosis between the two disorders is difficult and requires one or more complete nocturnal video-polygraphic recording. In any case the diagnosis of NFLE should be considered in children with nocturnal motor episodes or nocturnal motor agitation, when the attacks persist; this diagnosis is probably more frequent that expected. (C) 2000 Elsevier Science Ireland Ltd.

AB - Parasomnias emerging from NREM sleep such as sleep walking, sleep terrors and confusional arousals are considered arousal disorders. Nocturnal video-polysomnography is the gold standard to diagnosing and differentiating parasomnias from other arousals with atypical motor behaviors such as nocturnal frontal lobe epilepsy (NFLE). This from of nocturnal seizures with prominent dystonic-dyskinetic components, in some cases genetic, has been recently identified by means of detailed video-analysis of movements during sleep. The clinical picture of parasomnias (with onset in early childhood, rare episodes of long duration, absence of stereotypy, general disappearance after puberty) is different from that of NFLE (which first occurs between the age of 10 and 20, manifests frequent complex and repetitive behaviors of short duration excluding rare prolonged seizures, nocturnal agitation, some daytime complaints such as fatigue or sleepiness, persistence into adulthood). Patients show no difference from classical sleep parameters whilst microstructure analysis shows sleep instability and arousal fluctuations in parasomnias and NFLE. In children as well, at least in our experience, the differential diagnosis between the two disorders is difficult and requires one or more complete nocturnal video-polygraphic recording. In any case the diagnosis of NFLE should be considered in children with nocturnal motor episodes or nocturnal motor agitation, when the attacks persist; this diagnosis is probably more frequent that expected. (C) 2000 Elsevier Science Ireland Ltd.

KW - Arousal disorders

KW - Nocturnal frontal lobe epilepsy

KW - Parasomnia

KW - Sleep

UR - http://www.scopus.com/inward/record.url?scp=0034281993&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034281993&partnerID=8YFLogxK

U2 - 10.1016/S1388-2457(00)00413-2

DO - 10.1016/S1388-2457(00)00413-2

M3 - Article

VL - 111

JO - Clinical Neurophysiology

JF - Clinical Neurophysiology

SN - 1388-2457

IS - SUPPL. 2

ER -