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Benign Parasomnias and Nocturnal Frontal Epilepsy: Differential Diagnosis in a Case Report

Department of Child Neurology and Psychiatry Giannina Gaslini Institute University of Genoa Genoa, Italy

Raffaella Devescovi, MD

Department of Child Neurology and Psychiatry Giannina Gaslini Institute University of Genoa Genoa, Italy

Lino Nobili, MD

Department of Child Neurology and Psychiatry Department of Neurophysiopathology Giannina Gaslini Institute University of Genoa Genoa, Italy

Maria Giuseppina Baglietto, MD

Department of Child Neurology and Psychiatry Giannina Gaslini Institute University of Genoa Genoa, Italy

Marco Zucconi, MD

Sleep Center Scientific Institute Hospital San Raffaele Milan, Italy

Alessia Schinardi, MD

Department of child Neurology and Psychiatry Giannina Gaslini Institute University of Genoa Genoa, Italy

We report the case of a 13-year-old boy who complained of complex motor episodes during sleep characterized by sudden arousal followed by deambulation associated with automatic movements and vocalization. His family history included both epileptic and psychiatric disorders. The patient himself presented psychopathologic traits and adaptive difficulties. In support of an epileptic origin of these phenomena were the stereotyped fashion in which they appeared and their responsiveness to carbamazepine. We classified the present case as a nocturnal frontal epilepsy with variable manifestations that can be classified as paroxysmal arousals, paroxysmal dystonia, and epileptic nocturnal wanderings. It was possible to differentiate such events from the most common parasomnias on the basis of videopolysomnographic studies. (J Child Neurol 2001;16:628-631).

Journal of Child Neurology, Vol. 16, No. 8, 628-631 (2001)
DOI: 10.1177/088307380101600823


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