[Five cases of paroxysmal sleep disturbances].
Five cases with paroxysmal disturbances occurring during sleep were presented. The diagnosis of epilepsy was made in 3 cases and the diagnosis of non-epilepsy was made in 2 cases. The latter 2 cases had been treated as epilepsy. Clinical differences were not apparent on ictal manifestations between the epileptic and non-epileptic paroxysmal sleep disturbances. Seizures on awakening, which were noticed in only the epileptic cases, appeared 1 to 10 months later than sleep seizures. Final diagnosis was based on ictal EEG. Slow wave bursts were followed by alpha activity in non-epileptic cases. In epileptic cases, EEG revealed frontal dominant localized spike discharges which spread around in 2 cases and fast wave discharges in 1 cases.
Department of Pediatrics, National Defense Medical College, Saitama.
H
H
Nagai
T
T
Ikeno
D002220:Carbamazepine / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003975:Diazepam / Q000627:therapeutic use; D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000188:drug therapy
D002220:Carbamazepine; D003975:Diazepam