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ISSN: 2155-9562

Journal of Neurology & Neurophysiology
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Research Article

Unexpected EEG Abnormalities in Adults with Parasomnia – A Case Series

Milena K Pavlova*, Saad Yazdani and Ellen J Bubrick

Department of Neurology, Harvard Medical School, Boston, Massachusetts, USA

Corresponding Author:
Milena K. Pavlova
Brigham and Women’s –Faulkner Hospital
Department of Neurology, Suite 4970
1153 Centre St, Boston MA 02130, USA
Tel: 617-983-7580
Fax: 617-983-7582
E-mail: [email protected]

Received date: August 22, 2014; Accepted date: November 07, 2014; Published date: November 12, 2014

Citation: Pavlova MK, Yazdani S, Bubrick EJ (2014) Unexpected EEG Abnormalities in Adults with Parasomnia – A Case Series. J Neurol Neurophysiol 5:246. doi:10.4172/2155-9562.1000246

Copyright: © 2014 Pavlova MK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Abstract

Patients with complex nocturnal behaviors (parasomnia, sleepwalking) can sometimes be difficult to distinguish from those with epilepsy.The differential diagnosis includes identifying abnormalities on electroencephalography (EEG) that are specific for epilepsy - epileptiform discharges. Although these are rarely seen in individuals without epilepsy, and unknown to be associated with sleep disorders, we unexpectedly identified focal epileptiform abnormalities among multiple patients who presented with clinical features suggestive of parasomnia rather than epilepsy—they did not have a history of epileptic seizures or risk factors for epilepsy. The individual history of each patient and the type of abnormality are discussed in the context of any potential for increased cortical irritability.

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