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NEUROLOGY 2005;64:356-358
© 2005 American Academy of Neurology
Brief Communications

Paroxysmal arousal in epilepsy associated with cingulate hyperperfusion

R. Vetrugno, MD, M. Mascalchi, MD, A. Vella, MD, R. Della Nave, MD, F. Provini, MD, G. Plazzi, MD, D. Volterrani, MD, P. Bertelli, MD, A. Vattimo, MD, E. Lugaresi, MD and P. Montagna, MD

From the Department of Neurological Sciences (Drs. Vetrugno, Provini, Plazzi, Lugaresi, and Montagna), University of Bologna; Radiodiagnostic Section, Department of Clinical Physiopathology (Drs. Mascalchi and Della Nave), University of Florence; Nuclear Medicine (Drs. Vella, Bertelli, and Vattimo), "Le Scotte" General Hospital, Siena; and Nuclear Medicine (Dr. Volterrani), University of Pisa, Italy.

Address correspondence and reprint requests to Dr. Roberto Vetrugno, Dipartimento di Scienze Neurologiche dell’Università di Bologna, Via Ugo Foscolo 7, 40123 Bologna, Italy; e-mail: vetrugno{at}neuro.unibo.it

A patient with nocturnal frontal lobe epilepsy characterized by paroxysmal motor attacks during sleep had brief paroxysmal arousals (PAs), complex episodes of nocturnal paroxysmal dystonia, and epileptic nocturnal wandering since childhood. Ictal SPECT during an episode of PA demonstrated increased blood flow in the right anterior cingulate gyrus and cerebellar cortex with hypoperfusion in the right temporal and frontal associative cortices.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the January 25 issue to find the title link for this article.

Received April 9, 2004. Accepted in final form September 7, 2004.




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