Document Detail

Continuous spikes and waves during slow sleep in an adult.
MedLine Citation:
PMID:  18249587     Owner:  NLM     Status:  MEDLINE    
Continuous spikes and waves during slow wave sleep (CSWS) is rare and is considered to be an age-related epileptic syndrome occurring only in children. We report the case of a 21-year-old patient diagnosed with this syndrome. The patient had a history of seizures since the age of 3 and was admitted for continuous video/EEG monitoring to evaluate seizure exacerbation and unprovoked outbursts of anger. During 3 days of monitoring, awake EEG recordings showed focal slow wave activity in the right temporal region. CSWS were observed. After a change in his antiepileptic drug regimen, subsequent EEG recordings showed resolution of CSWS. As shown in our patient, CSWS can be observed in adults. In addition, continuous video/EEG monitoring including sleep is important in the evaluation of patients with sudden deterioration of seizure control accompanied by behavioral changes.
Meriem K Bensalem-Owen; Toufic A Fakhoury
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-02-04
Journal Detail:
Title:  Epilepsy & behavior : E&B     Volume:  12     ISSN:  1525-5050     ISO Abbreviation:  Epilepsy Behav     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-18     Completed Date:  2008-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892858     Medline TA:  Epilepsy Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  489-91     Citation Subset:  IM    
Department of Neurology, University of Kentucky, Lexington, KY 40536, USA. <>
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MeSH Terms
Electroencephalography / methods
Seizures / complications*
Sleep Disorders / complications*
Sleep, REM / physiology*
Video Recording
Wakefulness / physiology

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