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Sleep-related hypermotor epilepsy (SHE), previously known as nocturnal frontal lobe epilepsy, is a form of focal epilepsy characterized by seizures which arise during sleep. The seizures are most typically characterized by complex motor behaviors. It is a relatively uncommon form of epilepsy that constitutes approximately 9-13% of cases.
Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is an epileptic disorder that causes frequent violent seizures during sleep. These seizures often involve complex motor movements, such as hand clenching, arm raising/lowering, and knee bending. Vocalizations such as shouting, moaning, or crying are also common.
The symptoms and clinical manifestations of frontal lobe epilepsy can differ depending on which specific area of the frontal lobe is affected. [ 2 ] The onset of a seizure may be hard to detect since the frontal lobes contain and regulate many structures and functions about which relatively little is known. [ 3 ]
Frontal lobe epilepsy, usually a symptomatic or cryptogenic localization-related epilepsy, arises from lesions causing seizures that occur in the frontal lobes of the brain. These epilepsies can be difficult to diagnose because the symptoms of seizures can easily be confused with nonepileptic spells and, because of limitations of the EEG, be ...
Nocturnal frontal lobe epilepsy, often misdiagnosed as nightmares, was considered to be a parasomnia but later identified to be an epilepsy syndrome. [137] Attacks of the movement disorder paroxysmal dyskinesia may be taken for epileptic seizures. [138] The cause of a drop attack can be, among many others, an atonic seizure. [135]
They belong to a superfamily of ligand-gated ion channels which allow the flow of sodium and potassium across the plasma membrane in response to ligands such as acetylcholine and nicotine. This gene encodes one of several beta subunits. Mutations in this gene are associated with autosomal dominant nocturnal frontal lobe epilepsy. [6]
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In individuals with idiopathic generalized epilepsy, K-complex induced synchronization can trigger spike-and-wave discharges. This tends to happen most between the shift between waking and NREM, and between NREM and REM sleep. [11] In autosomal dominant nocturnal frontal lobe epilepsy, K-complexes are almost invariably present at the start of ...
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