2021
DOI: 10.5935/1984-0063.20200113
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Sleep-related hypermotor epilepsy in a patient with mucopolysaccharidosis type III

Abstract: Both non-epileptic sleep disturbances and epilepsy are common in patients with mucopolysaccharidoses (MPS), so diagnosis of sleep-related hypermotor epilepsy in these patients is a tackling issue. We present a case of an adult patient with MPS IIIB (Sanfilippo syndrome), who presented with numerous nocturnal events of sudden awakening and hypermotor behavior, which had been previously regarded as parasomnias. Overnight video-EEG captured numerous stereotypical seizures with ictal pattern in the frontal regions… Show more

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“…In patients with sleep disturbance, medical workup should include consideration of the presence of disordered movement or seizure activity [85], iron deficiency in the setting of restless legs, pain or intercurrent illness, esophageal reflux, dental disease, and disordered breathing or sleep apnea during sleep. Sleep disturbance should be addressed with a multimodal approach that includes sleep hygiene counseling, implementing behavioral strategies, addressing the safety of the environment (eg securing the door to prevent harm from wandering, removing items that may cause choking, removing or covering hard surfaces, enclosed specialty beds, and avoiding furniture that could be toppled over), treating circadian rhythm disturbance, and other comorbid medical factors.…”
Section: Sleepmentioning
confidence: 99%
“…In patients with sleep disturbance, medical workup should include consideration of the presence of disordered movement or seizure activity [85], iron deficiency in the setting of restless legs, pain or intercurrent illness, esophageal reflux, dental disease, and disordered breathing or sleep apnea during sleep. Sleep disturbance should be addressed with a multimodal approach that includes sleep hygiene counseling, implementing behavioral strategies, addressing the safety of the environment (eg securing the door to prevent harm from wandering, removing items that may cause choking, removing or covering hard surfaces, enclosed specialty beds, and avoiding furniture that could be toppled over), treating circadian rhythm disturbance, and other comorbid medical factors.…”
Section: Sleepmentioning
confidence: 99%