Your activity: 54 p.v.
your limit has been reached. plz Donate us to allow your ip full access, Email: sshnevis@outlook.com

Clinical features that may help differentiate sleep-related hypermotor seizures and parasomnias

Clinical features that may help differentiate sleep-related hypermotor seizures and parasomnias
Feature Sleep-related hypermotor seizures NREM disorders of arousal REM sleep behavior disorder
Age of onset Variable, typically first or second decade of life Usually first decade of life 50 years and older
Sleep stage of origin N1 or N2, sleep-wake transitions N3 REM
Timing of episodes Anytime First third of sleep period Last third of sleep period
Duration of episodes 5 to 60 seconds 2 to 30 minutes Seconds to 2 minutes
Frequency of episodes Nightly clusters Sporadic, rare clusters Sporadic, rare clusters
Onset and offset Sudden Gradual Sudden
Semiology of episodes Highly stereotyped, hypermotor, asymmetric tonic/dystonic Not stereotyped, variable complexity Not highly stereotyped, vocalizations with dream recall, self-protective behaviors
Level of consciousness during episodes Usually preserved Variable Poorly responsive
Post-event confusion Typically absent Present Absent
Risk of injury Low High Moderate
Polysomnography with EEG findings Surface epileptiform activity detected in <50% Slow wave sleep arousals, rhythmic delta pattern REM sleep without atonia
REM: rapid eye movement; NREM: non-REM; EEG: electroencephalography.
Graphic 103987 Version 3.0