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NEUROLOGY 1990;40:1063
© 1990 American Academy of Neurology

Paroxysmal arousals during sleep

P. Montagna, MD, E. Sforza, MD, P. Tinuper, MD, F. Cirignotta, MD and E. Lugaresi, MD

Institute of Neurology, University of Bologna, Bologna, Italy.

Six patients complained of distressing sudden awakenings with abnormal motor activity during sleep causing insomnia. Polysomnography showed paroxysmal short-lasting arousals during NREM, especially slow-wave sleep, associated with complex movements and autonomie activation. Ictal and interictal EEG never showed epileptic discharges except in 1 patient who also had a tonic-clonic seizure during sleep. Carbamazepine was the only effective medication in 2 patients. Paroxysmal arousals represent a sleep disturbance that may be related to deep epileptic foci.

Address correspondence and reprint requests to Dr. Pasquale Montagna, Clinica Neurologica, Via U. Foscolo 7, 40123 Bologna, Italy.

Received October 10, 1989. Accepted for publication in final form December 28, 1989.




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