ABSTRACT
In some forms of epilepsy, the seizures occur almost exclusively during sleep. This is particularly the case with hypermotor frontal lobe seizures. Clinically it can be difficult to distinguish such seizures from parasomnias and psychogenic non-epileptic seizures. This clinical review article aims to highlight the importance of making the correct diagnosis, as these conditions require completely different treatment.
Subject(s)
Epilepsy, Frontal Lobe , Parasomnias , Humans , Epilepsy, Frontal Lobe/diagnosis , Epilepsy, Frontal Lobe/drug therapy , Electroencephalography , Parasomnias/diagnosis , Seizures/diagnosis , Seizures/etiology , SleepABSTRACT
Rhythmic midtemporal discharge (RMTD) is a rare, benign EEG pattern that may have epileptic morphology. Recognizing variations of RMTD is important in order to avoid over- or misinterpretation of EEG findings, which may lead to inappropriate treatment and negative consequences for the patient in question. We present a case report of RTMDs during light sleep where initial erroneous description necessitated repeat EEGs and additional diagnostic exams and led to the postponement of obtaining a drivers licence for this young patient.
