Relationship of epileptic discharges to arousal instability and periodic leg movements in a case of nocturnal frontal lobe epilepsy: a stereo-EEG study.
We describe the case of a patient with nocturnal frontal lobe epilepsy, presenting with periodic leg movements during sleep and complaining of excessive daytime sleepiness. With the support of intracerebral electroencephalogram recordings and the corroboration of the postoperative outcome, periodic leg movements during sleep and excessive daytime sleepiness appeared to be associated to enhanced arousal instability induced by by recurrent epileptic discharges not detectable on scalp electroencephalogram.
Nobili
Lino
L
Epilepsy Surgery Centre C. Munari, Centre of Sleep Medicine, Niguarda Hospital, Milan, Italy. lino.nobili@ospedaleniguarda.it
Sartori
Ivana
I
Terzaghi
Michele
M
Stefano
Francione
F
Mai
Roberto
R
Tassi
Laura
L
Parrino
Liborio
L
Cossu
Massimo
M
Lo Russo
Giorgio
G
D000328:Adult; D001143:Arousal / Q000502:physiology*; D001921:Brain / Q000473:pathology; D004569:Electroencephalography / Q000295:instrumentation*; D017034:Epilepsy, Frontal Lobe / Q000150:complications* / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D020189:Nocturnal Myoclonus Syndrome / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D017286:Polysomnography; D011300:Preoperative Care; D012720:Severity of Illness Index; D012895:Sleep, REM / Q000502:physiology