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Nocturnal epilepsies in adults
B A Yaqub1, G Waheed, M M Kabiraj
1Division of Neurology and Neurophysiology, King Khalid University Hospital, Riyadh, Saudi Arabia.
Seizure
|April 1, 1997
Summary
Adult nocturnal seizures appear to be a distinct, benign partial epileptic syndrome. Most patients responded well to antiepileptic drugs, with a low annual seizure frequency, suggesting a favorable prognosis.
Area of Science:
- Neurology
- Epileptology
Background:
- Nocturnal seizures in adults are not well-characterized.
- Understanding their clinical and electroencephalographic (EEG) features is crucial for diagnosis and management.
Purpose of the Study:
- To evaluate the clinical characteristics and EEG findings in adult patients with nocturnal seizures.
- To determine the classification and response to treatment of this epilepsy type.
Main Methods:
- Long video-EEG monitoring was performed on 64 consecutive adult patients with definite nocturnal seizures.
- Patients underwent neurological examination and neuroimaging; EEG background activity was assessed.
- Epilepsy classification followed the 1989 International League Against Epilepsy guidelines.
Main Results:
- All patients had normal mental state, neurological examination, neuroimaging, and EEG background.
- Epilepsy classification was achieved in 66% of patients (42/64), with 79% (33/42) having partial epilepsies and 21% (9/42) having generalized epilepsies.
- Treatment response was excellent, with 94% (60/64) of patients experiencing minimal seizures (≤1 per year) on antiepileptic drugs over 2 years.
Conclusions:
- Nocturnal seizures in adults may represent a distinct partial epileptic syndrome.
- This syndrome appears to be benign, characterized by normal baseline neurological status and excellent response to antiepileptic drug therapy.
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