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  • Title: Epilepsy and sleep-disordered breathing as false friends: a case report.
    Author: Vitelli O, Miano S, Tabarrini A, Mazzotta AR, Supino MC, Forlani M, Villa MP.
    Journal: J Child Neurol; 2014 Oct; 29(10):NP114-7. PubMed ID: 24257432.
    Abstract:
    Because signs of nocturnal seizures can overlap with sleep respiratory events, clinicians can have difficulty distinguishing abnormal events related to sleep disorders from epileptic seizures. We describe the case of a 3-year-old child presenting with ictal electroencephalographic (EEG) activity associated with a particular form of atypical obstructive sleep apnea, characterized by increased respiratory rate, paradoxical breathing, desaturations, and tonic-dystonic posture associated with movement artifacts. Following cardiorespiratory polysomnography, the patient was initially misdiagnosed as having severe obstructive sleep apnea syndrome.
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