Sleep-Related Hypermotor Syndrome: An arousal parasomnia or nocturnal frontal lobe epilepsy?

A variety of complex (as well as simple) movements may occur during sleep in an apparently normal individual. Physicians at the sleep or epilepsy clinics often encounter patients referred for such nocturnal movements seeking answer to the question: Is it a parasomnia or a nocturnal seizure, particularly nocturnal frontal lobe epilepsy (NFLE) [originally called nocturnal paroxysmal dystonia (NPD) and recently renamed sleep-related hypermotor epilepsy (SHE)]? Nocturnal motor events may be classified into epileptic paroxysmal motor events and non-epileptic motor events consisting of parasomnias, sleep-related movement disorders, and isolated symptoms, apparently normal variants (eg, hypnic jerks, propriospinal myoclonus at sleep onset, fragmentary myoclonus, periodic limb movements in sleep, rhythmic leg movements, hypnagogic foot tremor and alternating leg movement activity.

from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/2xiZ9AA