HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Correspondence: Submit a response Alert me when this article is cited Alert me when Correspondence are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by BOLLER, F. Articles by MITSUMOTO, H. Search for Related Content PubMed PubMed Citation Articles by BOLLER, F. Articles by MITSUMOTO, H.

Paroxysmal "nightmares"

Sequel of a stroke responsive to diphenylhydantoin

Neurobehavior Unit, Cleveland Veterans Administration Hospital (Dr. Boller), and Neurology Service, University Hospitals of Cleveland and Case Western Reserve University School of Medicine (Drs. Boller, Wright, Cavalieri, and Mitsumoto), Cleveland, Ohio.

A 65-year-old man had nightmares a few weeks after a right temporal lobe infarction. Electroencephalography showed no epileptic activity. Therapy with diphenylhydantoin produced complete remission of his symptoms. On the bases of their acute onset, their association with sleep, their occasional occurrence while the patient was awake, the lack of effect of diazepam and flurazepam, and the good response to diphenylhydantoin, we propose that these episodes were partial seizures secondary to the right temporal lobe lesion.

Research supported in part by NIH Training Grant NSO 5087-18 from NINCDS and by funds from the Veterans Asministration Project No. 1017-05.

Received for publication March 10, 1975.

Reprint requests should be addressed to Dr. Boller, Neurobehavior Unit, Cleveland Veterans Administration Hospital, Cleveland, OH 44106.