Polysomnographic assessment of spells in sleep: Nocturnal seizures versus parasomnias

被引:8
|
作者
Dyken, ME
Yamada, T
Lin-Dyken, DC
机构
[1] Univ Iowa Hosp & Clin, Dept Neurol, Sleep Disorders Ctr, Iowa City, IA 52242 USA
[2] Childens Hosp Iowa, Dept Pediat, Ctr Disabilities & Dev, Iowa City, IA USA
关键词
polysomnography; digital polysomnography; nocturnal seizures; parasomnias;
D O I
10.1055/s-2001-19409
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A dilemma can arise when attempting to distinguish a nocturnal seizure from a parasomnia because both phenomena can be characterized by a general increase in motor and autonomic activity with a transient reduction in the level of consciousness. An additional problem is that an accurate clinical diagnosis generally relies heavily on a detailed history. As sleep related disorders occur at a time when the patient is not fully cognizant, polysomnographic analysis can on occasion supplement for the intrinsic paucity of detailed history. Simultaneously, correlating the clinical and polysomnographic analysis immediately prior to, during, and following an event of interest, can be helpful in differentiating nocturnal seizures from parasomnias.
引用
收藏
页码:377 / 390
页数:14
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