Morkous Sameh S
Pediatric Neurology, Lehigh Valley Health Network (LVHN) Lehigh Valley Reilly Children's Hospital, Allentown, USA.
Cureus. 2021 Sep 17;13(9):e18047. doi: 10.7759/cureus.18047. eCollection 2021 Sep.
A 16-year-old male was referred by the primary care physician (PCP) for a second opinion. An initial evaluation in another sleep center suggested a working diagnosis of night terrors for the last two years. The child would wake up frequently screaming for few minutes before going back to sleep with no recollection of these events later. A video during the polysomnography (PSG) showed the patient having one of his typical events. He was eventually diagnosed with Sleep-related Hypermotor Epilepsy (SHE) seizures. This case highlights the importance of differentiating parasomnia and seizures, particularly for the sleep medicine providers that incorporate providers from different academic backgrounds. We will discuss the clinical challenges to make the distinction for the referring providers and demonstrate the importance of video-PSG to establish the diagnosis.
一名16岁男性由初级保健医生（PCP）转诊以寻求第二种意见。另一家睡眠中心的初步评估表明，过去两年的初步诊断为夜惊。孩子会频繁醒来尖叫几分钟，然后再入睡，之后对这些事件毫无记忆。多导睡眠图（PSG）期间的一段视频显示患者出现了一次典型发作。他最终被诊断为睡眠相关性运动过多癫痫（SHE）发作。这个病例强调了区分异态睡眠和癫痫的重要性，特别是对于整合了不同学术背景医生的睡眠医学从业者。我们将讨论为转诊医生进行区分时面临的临床挑战，并展示视频PSG对确立诊断的重要性。
