Diaz-Abad Montserrat, Sanchez Ana M, Kabir Arif, Konikkara John
Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Department of Neurology, Kaiser Permanente, Denver, Colorado, USA.
Case Rep Neurol. 2020 Jan 15;12(1):18-23. doi: 10.1159/000505230. eCollection 2020 Jan-Apr.
Complex nocturnal behaviors associated with sleep have many potential causes, including parasomnias and epilepsy. Although the type of event and description can frequently lead to a diagnosis, sometimes it is challenging clinically to determine the cause of the behaviors, requiring a more in-depth investigation. We report the case of a 29-year-old woman with a long history of complex abnormal behaviors and visual hallucinations at night. An extensive clinical evaluation failed to reveal a definitive cause of these episodes, prompting a 3-day epilepsy monitoring unit admission. During the stay, several events were captured on video electroencephalography, leading to a conclusive final diagnosis. This case highlights the challenging task of finding a definitive diagnosis in cases of complex nocturnal behaviors and the potential role of an admission to an epilepsy monitoring unit to help diagnose the cause of these behaviors.
与睡眠相关的复杂夜间行为有许多潜在原因，包括异态睡眠和癫痫。尽管事件的类型和描述常常能得出诊断结果，但有时临床上确定这些行为的原因具有挑战性，需要更深入的调查。我们报告了一名29岁女性的病例，她长期存在复杂的异常行为和夜间视幻觉。广泛的临床评估未能揭示这些发作的确切原因，促使其入住癫痫监测病房3天。住院期间，视频脑电图记录到了几次发作事件，从而得出了最终的确切诊断。该病例凸显了在复杂夜间行为病例中确定确切诊断的艰巨任务，以及入住癫痫监测病房在帮助诊断这些行为原因方面的潜在作用。
