혼돈을 보이는 각성 - 사건수면인가, 간질발작인가?
Confusional Arousal - Parasomnia or Seizure?
이서영, 김남희, 김동욱,
소속 상세정보
이서영 ( Lee Seo-Young )
강원대학교 신경과
김남희 ( Kim Nam-Hee )
동국대학교 신경과
김동욱 ( Kim Dong-Wook )
건국대학교 신경과
KMID : 1002120080050020094
Abstract
Background: Confusional arousal is common and usually considered benign. However, nocturnal epilepsy should be ruled out because there are many overlaps between parasomnia and nocturnal epilepsy.
Methods: We searched the patients who underwent video-EEG monitoring for diagnosis of confusional arousal. Initial and final diagnostic impressions and clinical courses were reviewed.
Results: Among the four cases of confusional arousal, two cases turned out to be parasomnia, and the other two to be epilepsy. The diagnosis was open to debate in all cases, before or even after video-EEG monitoring.
Conclusion: Differentiation between parasomnia and nocturnal epilepsy is diagnostic challenge. Both clinical features and ictal monitoring with EEG covering the whole scalp are necessary for diagnosis.
키워드
Parasomnia; Seizure; Confusional arousal
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