Fusco L, Specchio N
Division of Neurology Bambin Gesù, Children's Hospital Scientific Institute, Piazza S. Onofrio 4, I-00165 Rome, Italy.
Neurol Sci. 2005 Dec;26 Suppl 3:s205-9. doi: 10.1007/s10072-005-0488-4.
Sleep-related paroxysmal disorders in infancy and childhood have recently been reviewed and classified by the American Sleep Disorders Association. Although in some patients diagnosis is easy to achieve, at times a video/EEG recording of the episodes is required because of the similarity to epileptic seizures. These disorders often represent a challenge for paediatricians as an accurate diagnosis is required. We report a review of the literature and a characterisation of our series of patients. Paroxysmal events during sleep are frequently misdiagnosed as psychogenic fits, epileptic seizures or physiologic events with evident disadvantages for children and families. The widespread use of neurophysiological techniques and better knowledge of the semeiology of epileptic seizures have led us to correctly define these events, which have sometimes been erroneously treated in the past.
美国睡眠障碍协会最近对婴儿期和儿童期与睡眠相关的阵发性疾病进行了综述和分类。尽管在一些患者中诊断很容易实现，但有时由于与癫痫发作相似，需要对发作进行视频/脑电图记录。这些疾病往往给儿科医生带来挑战，因为需要准确诊断。我们报告了文献综述以及对我们一系列患者的特征描述。睡眠期间的阵发性事件经常被误诊为心因性发作、癫痫发作或生理事件，这对儿童及其家庭有明显不利影响。神经生理学技术的广泛应用以及对癫痫发作症状学的更深入了解，使我们能够正确定义这些事件，而这些事件在过去有时得到了错误的治疗。
