Benign neonatal sleep myoclonus mimicking status epilepticus.
Benign neonatal sleep myoclonus is a self-limited movement disorder characterized by neonatal-onset myoclonic jerks only during sleep, abrupt and consistent cessation with arousal, and absence of concomitant electrographic changes suggestive of seizures. It has a good outcome and was included in the differential diagnosis of neonatal seizures. A presumed transient serotonin imbalance and genetic factors may play a role in the pathogenesis of this disorder. We report a case of benign neonatal sleep myoclonus mimicking status epilepticus in an infant with a family history of nocturnal myoclonus, tic disorder, and sleep disturbance. We suggest that this benign entity should be included in the differential diagnosis of status epilepticus during the newborn period.
Turanli
Güzide
G
Department of Child Neurology, Hacettepe University Medical, Faculty of Medicine, Ankara, Turkey. gturanli@hacettepe.edu.tr
Senbil
Nesrin
N
Altunbaşak
Sakir
S
Topçu
Meral
M
D000768:Anesthesia, General; D000927:Anticonvulsants / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009460:Neurologic Examination; D020189:Nocturnal Myoclonus Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000235:genetics; D012894:Sleep Stages; D013226:Status Epilepticus / Q000175:diagnosis* / Q000188:drug therapy; D017211:Treatment Failure
D000927:Anticonvulsants