Nocturnal frontal lobe epilepsy with paroxysmal arousals due to CHRNA2 loss of function

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Nocturnal frontal lobe epilepsy

The paroxysmal motor events during sleep are certainly common.The systematic use of nocturnal video-polysomnography has largely improved the diagnostic yield in patients with clusters of nocturnal motor events. Two broad nosological categories have been identified: parasomnias (sleep terror and sleep-walking), which are thought to represent disorders of arousal during sleep,and the epileptic se...

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Symptomatic nocturnal frontal lobe epilepsy

Nocturnal frontal lobe epilepsy (NFLE) is a disorder characterised by clusters of brief motor seizures during sleep, often without surface EEG epileptiform abnormalities’“. For these reasons, the prevalence of this disorder has probably been underestimated. Moreover, in the past, many patients with clusters of nocturnal motor attacks have been diagnosed as having nocturnal paroxysmal dystonia5,...

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PURPOSE Aim of this study was to evaluate the efficacy and tolerability of the antiepileptic drug topiramate (TPM) in a sample of patients with nocturnal frontal lobe epilepsy (NFLE). METHODS A 24 patients with video-polysomnographically confirmed NFLE received topiramate as single or add-on therapy. They all completed diaries concerning the seizures frequency and complexity and underwent to ...

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Vulnerability to paroxysmal oscillations in delayed neural networks: a basis for nocturnal frontal lobe epilepsy?

Resonance can occur in bistable dynamical systems due to the interplay between noise and delay (τ) in the absence of a periodic input. We investigate resonance in a two-neuron model with mutual time-delayed inhibitory feedback. For appropriate choices of the parameters and inputs three fixed-point attractors co-exist: two are stable and one is unstable. In the absence of noise, delay-induced tr...

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ژورنال

عنوان ژورنال: Neurology

سال: 2015

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0000000000001471