Distinctive polysomnographic traits in nocturnal frontal lobe epilepsy

Epilepsia
Liborio ParrinoM G Terzano

Abstract

To describe the polysomnographic features and distribution of epileptic motor events, in relation to conventional sleep measures and cyclic alternating pattern (CAP) parameters, in 40 untreated patients with nocturnal frontal lobe epilepsy (NFLE). We analyzed the basal polysomnographic recordings of 40 patients (20 male and 20 female; mean age: 31 ± 10 years) with a diagnosis of nocturnal frontal lobe epilepsy. Conventional sleep measures and CAP parameters were assessed. Polysomnographic recordings were subdivided in sleep cycles. The distribution of the epileptic motor events (including minor motor events, paroxysmal arousals, tonic-dystonic, or hyperkinetic seizures and epileptic nocturnal wandering) was analyzed throughout: total sleep time, non-rapid eye movement (NREM) and REM sleep, light sleep (S1 + S2), slow wave sleep (SWS), each sleep cycle, CAP or non-CAP sleep, phase A and phase B of CAP. Only clear epileptic motor events supported by video-polysomnographic evidence were taken into consideration. Polysomnographic findings of patients with NFLE were compared with those of 24 age- and gender-balanced healthy subjects without sleep complaints. Compared to controls, patients with NFLE showed a significant increase in w...Continue Reading

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Citations

Jan 8, 2014·Current Neurology and Neuroscience Reports·Lino NobiliPaolo Tinuper
Sep 10, 2013·Epilepsy & Behavior : E&B·Michelangelo MaestriEnrica Bonanni
Sep 5, 2014·Current Opinion in Pulmonary Medicine·Liborio ParrinoGiulia Milioli
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Jun 12, 2013·Sleep Medicine·Fernando De PaolisLiborio Parrino
May 11, 2016·Neurology·Paolo TinuperRuth Ottman
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Jul 31, 2021·Sleep Medicine Clinics·Carlotta MuttiLiborio Parrino
Jul 12, 2021·Seizure : the Journal of the British Epilepsy Association·Barbara MostacciPaolo Tinuper

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