Nocturnal Seizures Mimic REM Behavior Disorder

Distinction of nocturnal seizures and REM behavior disorder is traditionally based on historical features or stereotypical behaviors, time of night, and ability to recall dream imagery during the episode. We present a patient who had dream enactment that typically occurred between 4:00 and 6:00 a.m....

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Bibliographic Details
Published in:American journal of electroneurodiagnostic technology 1997-12, Vol.37 (4), p.258-264
Main Authors: D'Cruz, O'Neill F., Vaughn, Bradley V.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Dreams
epilepsy
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
REM behavior disorder
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Summary:Distinction of nocturnal seizures and REM behavior disorder is traditionally based on historical features or stereotypical behaviors, time of night, and ability to recall dream imagery during the episode. We present a patient who had dream enactment that typically occurred between 4:00 and 6:00 a.m. and correlated with a rhythmical electroencephalographic discharge in the frontal region. This case demonstrates that patients who are resistant to therapy for typical symptoms of REM behavior disorder should be evaluated for possible nocturnal seizures.
ISSN:1086-508X
2375-8619
DOI:10.1080/1086508X.1997.11079197