Sleep-Related Hypermotor Epilepsy vs Disorders of Arousal in Adults

Montini, Angelica; Loddo, Giuseppe; Baldelli, Luca; Cilea, Rosalia

doi:10.1016/j.chest.2021.01.059

Cited by 15 publications

(15 citation statements)

References 61 publications

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“…111 Core clinical features are strongly supporting a diagnosis of DOA include behaviors mimicking everyday activities associated with physical or verbal interaction with the environment (such as turning on the light, opening a door or looking out of the window, using the mobile phone, getting dressed, taking actions related to working activity, doing make-up or preparing luggage). 112 Patients with parasomnia often have lower episode frequency and longer episode duration than those with SHE. 113 The clinical history alone is sometimes insufficient to provide information for differential diagnosis but may still provide clues for the further development of screening programs.…”

Section: Differential Diagnosis and Overlap Between She And Parasomniasmentioning

confidence: 99%

Sleep-Related Hypermotor Epilepsy: Etiology, Electro-Clinical Features, and Therapeutic Strategies

Wan

Wang

Chen

et al. 2021

NSS

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Section: Differential Diagnosis and Overlap Between She And Parasomniasmentioning

confidence: 99%

Sleep-Related Hypermotor Epilepsy: Etiology, Electro-Clinical Features, and Therapeutic Strategies

Wan

Wang

Chen

et al. 2021

NSS

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“…Different questionnaires based on clinical features have been developed as further support tool, though with variable accuracy values (Bisulli et al, 2012; Derry et al, 2006; Loddo et al, 2021; Manni, Terzaghi, & Repetto, 2008). Video‐PSG represents the “gold‐standard” test for diagnosing complex sleep‐related events, but the widespread availability of home‐recording devices also provides a useful and affordable diagnostic instrument, especially if multiple DOA events are captured (Montini, Loddo, Baldelli, Cilea, & Provini, 2021; Nobili, 2009). However, in accordance with the current diagnostic criteria for SHE, if the recorded episodes are minor motor events or PA, the clinical diagnosis may be unreliable (Tinuper et al, 2016).…”

Section: From Nocturnal Frontal Lobe Epilepsy (Nfle) To Shementioning

confidence: 99%

Sleep and epilepsy: A snapshot of knowledge and future research lines

Nobili

Frauscher

Eriksson

et al. 2022

Journal of Sleep Research

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Summary Sleep and epilepsy have a reciprocal relationship, and have been recognized as bedfellows since antiquity. However, research on this topic has made a big step forward only in recent years. In this narrative review we summarize the most stimulating discoveries and insights reached by the “European school.” In particular, different aspects concerning the sleep–epilepsy interactions are analysed: (a) the effects of sleep on epilepsy; (b) the effects of epilepsy on sleep structure; (c) the relationship between epilepsy, sleep and epileptogenesis; (d) the impact of epileptic activity during sleep on cognition; (e) the relationship between epilepsy and the circadian rhythm; (f) the history and features of sleep hypermotor epilepsy and its differential diagnosis; (g) the relationship between epilepsy and sleep disorders.

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“…inpatient epilepsy monitoring center. While this is an expensive evaluation option, home video recording via cell phone camera, stereotypical behavior of the events, frequency up to nightly, persistence into adulthood, and the presence of a brain disorder can guide a clinician's decision to proceed [27]. In the author's experience in a busy university sleep clinic, less than 5% of adult patients presenting with arousal disorders are referred for epilepsy monitoring, however, 30% of the patients who were referred for epilepsy monitoring were diagnosed with likely or definite sleep-related hypermotor epilepsy.…”

Section: Tablementioning

confidence: 99%

The Pharmacology of Parasomnias and Movement Disorders of Sleep

Carter¹

2022

Sleep Medicine and the Evolution of Contemporary Sleep Pharmacotherapy

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The treatment of parasomnias and sleep related movement disorders is not always pharmacologic, indeed, some of these disorders respond to behavioral approaches without the risks of pharmaceuticals. This chapter endeavors to pull forward the disorders in which pharmacologic treatment is the best choice and lay out the pharmacologic properties of the treatments. It is not the goal of this chapter to present an encyclopedic review of the parasomnias and sleep related movement disorders. It is, however, the intent of this chapter to comprehensively review pharmacologic treatments used in the management of the disorders in which drug use is most necessary. The pharmacokinetic and pharmacodynamic properties and known risks of these pharmaceuticals are presented and discussed. When more than one pharmaceutical is used clinically within a class of drugs, thorough review of selected drugs is presented. The chapter includes investigations, mostly human studies, of the drugs discussed. The author’s extensive experience in pharmacology, neurology, and sleep medicine take the chapter through pharmacological information a clinician needs to guide the management of these disorders.

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Sleep-Related Hypermotor Epilepsy vs Disorders of Arousal in Adults

Cited by 15 publications

References 61 publications

Sleep-Related Hypermotor Epilepsy: Etiology, Electro-Clinical Features, and Therapeutic Strategies

Sleep-Related Hypermotor Epilepsy: Etiology, Electro-Clinical Features, and Therapeutic Strategies

Sleep and epilepsy: A snapshot of knowledge and future research lines

The Pharmacology of Parasomnias and Movement Disorders of Sleep

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