Frequent Night Terrors

摘要: Publisher Summary This chapter surveys the case of a child diagnosed with medically refractory partial seizures arising from left primary motor cortex. He was referred because nightly events thought to be nightmares. These had started when he 4 year old and progressively increased until they happened several times night. No benefit been obtained benzodiazepines or counseling behavioral therapist familiar sleep disorders. The patient normal general neurological examinations. Metabolic screening scalp EEGs were normal. admitted for video-EEG long-term monitoring (LTM). Several stereotypical captured, all occurring at accompanying ictal EEG showed an arousal pattern out non-REM and, amidst muscle artifacts, some bilateral frontal low-voltage theta activity. An single-photon emission computed tomography scan demonstrated area hyperperfusion within frontotemporal lobes. A magnetic resonance imaging Based on invasive recordings, resective surgery recommended. At surgery, electrocorticography recorded vigorous spiking in restricted zone, which again confirmed lie Multiple subpial slicings performed this area. There no postsurgical language deficits. Paroxysmal behaviors during children are classified as either sleep-induced epileptic parasomnias. most common parasomnias night terrors, followed by confusional arousals sleepwalking.