Some studies indicate that epilepsy and RBD may coexist, but this information is very scarce. Motor and verbal automatisms associated with temporal lobe seizures may mimic the gesturing and somniloquy observed in RBD. The hyperkinetic motor manifestations reported in frontal epileptic seizures can be reminiscent of the brisk and violent arm and leg movements seen in RBD. These clinical similarities between RBD and nocturnal epileptic seizures may result in misdiagnosis. It can mimic focal epileptic seizures, mainly frontal and temporal lobe seizures.

RBD is a parasomnia with a motor and behavioral pattern frequently associated with synucleinopathies. RBD: REM Sleep Behavior Disorder PD: Parkinson's Disease v-PSG: Video-Polysomnography REM: Rapid Eye Movement NREM: Non- Rapid Eye Movement REM sleep behavior disorder, Parkinson disease, Seizures This case raises awareness for a possible role of epileptiform activity in patients with a REM sleep behavior disorder-like symptomatology. He was started on antiepileptic drugs, with improvement of the abnormal sleep behaviors. During REM sleep no loss of atonia nor abnormal behaviors were detected. Video-polysomnographic showed periodic bilateral occipital epileptiform activity that occurred near arousals, where subtle movements were detected. We report a case of a man with Parkinson Disease diagnosis and parietal and frontal meningiomas who started to have abnormal sleep behaviors, suggestive of REM sleep behavior disorder. Our pediatric epileptologists offer treatments that most other pediatric neurologists cannot.REM sleep behavior disorder shares some clinical similarities with nocturnal epileptic seizures, which can result in misdiagnosis. The American Academy of Neurology recommends that patients whose seizures are not controlled by two medications should see a pediatric epileptologist-a pediatric neurologist who specializes in the treatment of complicated epilepsy.Ĭhildren with complicated epilepsy receive further evaluation to determine a dietary or surgical treatment that may control their seizures. This is often referred to as refractory epilepsy, intractable epilepsy, or uncontrolled epilepsy.

Another 15% need a second medication to become seizure-free.Ībout 30% of children with epilepsy will continue to have seizures, even after two medications. Most children with epilepsy receive their care from a general pediatric neurologist.Ībout 50% of children with epilepsy become seizure-free when treated with one anti-seizure medication. We use the evaluation to determine the type and cause of the seizures so that we can recommend a treatment plan and decide which kind of specialty doctor should guide your child’s treatment. We may also use imaging, such as MRI, and other tests, such as EEG and genetic evaluations, to make a diagnosis. Our board-certified pediatric neurologists will work with you to collect a detailed medical history of your child. A seizure might take the form of odd or unusual sensory or psychiatric feelings or behaviors. But some seizures are not as obvious or noticeable. Seizures may be shaking events or staring spells that are easy to identify. The most important part of the diagnosis is the discussion you’ll have with our team about your child’s history of seizures. Complete diagnostic evaluation by a team of epilepsy expertsĮvery child who sees us for epilepsy care receives a complete evaluation by our pediatric neurology team so that we can make a diagnosis that is as accurate as possible. People with epilepsy are also at risk for sudden unexpected death in epilepsy (SUDEP). Children with epilepsy can have learning and behavioral problems that make school and their social lives more difficult. Seizures increase your child’s risk for accidents and injury. Epilepsy is a brain condition that causes seizures.

Nocturnal epilepsy cure