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Non-epileptic paroxysmal events during sleep - Differentiation from epileptic seizures -

Korean Journal of Pediatrics 2007;50(8):726-731.
Published online August 15, 2007.
Non-epileptic paroxysmal events during sleep - Differentiation from epileptic seizures -
In Kyu Lee
Department of Pediatrics, Soonchunhyang University College of Medicine, Cheonan, Korea
수면시 발생하는 비간질성 발작 - 간질 발작과의 비교 -
이인규
순천향대학교 의과대학 소아과학교실
Correspondence: 
In Kyu Lee, Email: inkyuyi@chol.com
Abstract
This review describes the wide spectrum of paroxysmal events during sleep in infancy and childhood. The differential diagnosis between sleep-related non-epileptic paroxysmal events and epileptic seizures is difficult in special occasions. The nocturnal frontal lobe seizure and of the more common non- epileptic paroxysmal events during sleep are described. The main differentiating features characterizing parasomnias are: onset in early childhood, rare episodes of long duration, relatively lower frequency per night, absence of stereotypy, gradual disappearance of older age. Video-polysomnography is the gold standard to diagnosing and differentiating parasomnias from nocturnal frontal lobe seizures.
Key Words: Childhood parasomnias, Frontal lobe seizures, Arousal disorders, Sleep terror, Somambulism, Sleep, Nocturnal frontal lobe epilepsy, Childhood epilepsy, Differential diagnosis


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