Montplaisir J, Laverdière M, Saint-Hilaire J M, Walsh J, Bouvier G
Neurology. 1981 Oct;31(10):1352-6. doi: 10.1212/wnl.31.10.1352.
We studied a patient with hippocampal epilepsy who had frequent nocturnal and diurnal seizures. Depth electrode recording showed that focal seizure discharges in the right hippocampus were of shorter duration in REM and non-REM sleep. However, awakening, especially from REM sleep or shortly after a REM period, facilitated the occurrence of a generalized seizure. There was no ultradian fluctuation in frequency or duration of seizure during diurnal recording. Night terrors (but not nightmares) disappeared after right temporal lobectomy, suggesting that pavor nocturnus was an ictal manifestation in this case.
我们研究了一名患有海马体癫痫的患者，其昼夜均频繁发作。深度电极记录显示，右侧海马体的局灶性癫痫放电在快速眼动（REM）睡眠和非快速眼动睡眠中持续时间较短。然而，觉醒，尤其是从快速眼动睡眠中觉醒或在快速眼动期后不久觉醒，会促使全身性癫痫发作。日间记录期间癫痫发作的频率或持续时间没有超日波动。右侧颞叶切除术后夜惊（而非噩梦）消失，表明在该病例中夜惊是一种发作期表现。
