Abstract
Sleep-related seizures characterised by choreoathetoid, dystonic and ballic movements occurred in 12 patients, repeatedly each night and over a period of years. The nocturnal attacks were short-lasting, responded well to carbamazepine and were sometimes associated with clearly or possibly epileptic seizures during night- or daytime. They resembled the paroxysmal kinesigenic dystonias of wakefulness. Similar dystonic-dyskinetic attacks, but of long duration and unresponsive to medication, were also observed in two other patients, in one 20 years before the onset of clinically apparent Huntington's chorea. Nocturnal paroxysmal dystonia represents a syndrome of sleep-related motor attacks which comprises two variants, respectively characterised by short and long-lasting seizures. Its precise nosological definition still awaits elucidation.
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- Boller F., Wright D. G., Cavalieri R., Mitsumoto H. Paroxysmal "nightmares". Sequel of a stroke responsive to diphenylhydantoin. Neurology. 1975 Nov;25(11):1026–1028. doi: 10.1212/wnl.25.11.1026. [DOI] [PubMed] [Google Scholar]
- Broughton R. J. Sleep disorders: disorders of arousal? Enuresis, somnambulism, and nightmares occur in confusional states of arousal, not in "dreaming sleep". Science. 1968 Mar 8;159(3819):1070–1078. doi: 10.1126/science.159.3819.1070. [DOI] [PubMed] [Google Scholar]
- Broughton R. Pathophysiology of enuresis nocturna, sleep terrors and sleepwalking: current status and the Marseilles contribution. Electroencephalogr Clin Neurophysiol Suppl. 1982;(35):401–410. [PubMed] [Google Scholar]
- Kato M., Araki S. Paroxysmal kinesignenic choreoathetosis. Report of a case relieved by carbamazepine. Arch Neurol. 1969 May;20(5):508–513. doi: 10.1001/archneur.1969.00480110072006. [DOI] [PubMed] [Google Scholar]
- Lance J. W. Familial paroxysmal dystonic choreoathetosis and its differentiation from related syndromes. Ann Neurol. 1977 Oct;2(4):285–293. doi: 10.1002/ana.410020405. [DOI] [PubMed] [Google Scholar]
- Lee B. I., Lesser R. P., Pippenger C. E., Morris H. H., Lüders H., Dinner D. S., Corrie W. S., Murphy W. F. Familial paroxysmal hypnogenic dystonia. Neurology. 1985 Sep;35(9):1357–1360. doi: 10.1212/wnl.35.9.1357. [DOI] [PubMed] [Google Scholar]
- Pedley T. A., Guilleminault C. Episodic nocturnal wanderings responsive to anticonvulsant drug therapy. Ann Neurol. 1977 Jul;2(1):30–35. doi: 10.1002/ana.410020105. [DOI] [PubMed] [Google Scholar]
- Rajna P., Kundra O., Halász P. Vigilance level-dependent tonic seizures--epilepsy or sleep disorder? A case report. Epilepsia. 1983 Dec;24(6):725–733. doi: 10.1111/j.1528-1157.1983.tb04635.x. [DOI] [PubMed] [Google Scholar]
- Segawa M., Hosaka A., Miyagawa F., Nomura Y., Imai H. Hereditary progressive dystonia with marked diurnal fluctuation. Adv Neurol. 1976;14:215–233. [PubMed] [Google Scholar]