1989
DOI: 10.1159/000116383
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Nocturnal Complex Partial Seizures Precipitated by REM Sleep

Abstract: A 16-year-old patient presenting with complex partial seizures occurring in the transition from a REM period to wakefulness is described. His baseline EEG showed generalized and symmetrical slow spike and wave complexes, on a normal background activity, activated by NREM sleep. Polygraphic and videotape recordings, carried out for several nights, showed that after nearly each REM period, he would wake up briefly, presenting eye blinking followed by a burst of generalized hypersynchronous theta to start his sei… Show more

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Cited by 13 publications
(2 citation statements)
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“…7 The initial favorable outcome after temporal lobectomy could relate to the depletion of the volume of epileptogenic tissue with subsequent reactivation. We decided to hold immunosuppressive therapies 2,9 in reserve as our current findings suggest that intractable sei-zures may be present without progressive encephalitis, and there is no convincing evidence for an antiepileptic effect of such treatment. 8 The other alternative of progressive encephalitis is not substantiated from the postoperative clinical course and investigations.…”
mentioning
confidence: 99%
“…7 The initial favorable outcome after temporal lobectomy could relate to the depletion of the volume of epileptogenic tissue with subsequent reactivation. We decided to hold immunosuppressive therapies 2,9 in reserve as our current findings suggest that intractable sei-zures may be present without progressive encephalitis, and there is no convincing evidence for an antiepileptic effect of such treatment. 8 The other alternative of progressive encephalitis is not substantiated from the postoperative clinical course and investigations.…”
mentioning
confidence: 99%
“…Sleepwalking is a symptom that indicates the presence of one of several pathophysiological conditions including classical somnambulism (Broughton, 1968), nocturnal partial-complex seizures (Hauri, 1982;Silvestri, et al, 1989) REM behavior disorder (Schenck, Patterson, & Mahowald, 1987) and somnambulism secondary to medication effects (Charney, Kales, Soldatos, & Nelson, 1979).…”
mentioning
confidence: 99%