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NEUROLOGY 2004;62:482-485
© 2004 American Academy of Neurology
Brief Communications

Sleep-related hyperkinetic seizures of temporal lobe origin

L. Nobili, MD PhD, M. Cossu, MD, R. Mai, MD, L. Tassi, MD, F. Cardinale, MD, L. Castana, MD, A. Citterio, MD, I. Sartori, MD, G. Lo Russo, MD and S. Francione, MD PhD

From the Epilepsy Surgery Center "C. Munari" (Drs. Nobili, Cossu, Mai, Tassi, Cardinale, Castana, Sartori, Lo Russo, and Francione) and Department of Neuroradiology (Dr. Citterio), Niguarda Hospital, Milan, Italy.

Address correspondence and reprint requests to Dr. Lino Nobili, Centro Chirurgia dell’Epilessia "Claudio Munari," Ospedale Niguarda Ca’ Granda, Piazza Ospedale Maggiore 3, I-20126 Milan, Italy; e-mail: epsur{at}ospedaleniguarda.it

Sleep-related hyperkinetic seizures are a common feature of nocturnal frontal lobe epilepsy. Although sleep-related seizures with a temporal lobe origin have been reported, they commonly lack hyperkinetic activity. The authors describe three patients with sleep-related seizures characterized by frenetic, agitated, hyperactive movements (bimanual/bipedal activity, rocking, axial, pelvic, and hemiballistic movements), in whom stereo-EEG investigation and surgical outcome demonstrated a temporal lobe origin of the attacks.

Received July 7, 2003. Accepted in final form October 6, 2003.




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