Huang Y Z, Chu N S
Department of Neurology, Chang Gung Medical College and Memorial Hospital, Taipei, Taiwan.
Seizure. 1998 Feb;7(1):67-71. doi: 10.1016/s1059-1311(98)90011-5.
Episodic nocturnal wandering is rare and thought to be an atypical form of nocturnal epilepsy which is responsive to anticonvulsant therapy. We report a case of adult-onset episodic sleep-walking and daytime complex visual hallucination. Ambulatory EEG recordings suggested that both events were ictal phenomenon. Interictal sphenoidal EEG and SPECT studies revealed an epileptogenic focus in the left anterior temporal lobe. During the nocturnal wanderings, the patient had bizarre but non-violent behaviour, and was at risk of minor or severe injury to himself. Both events were completely controlled by carbamazepine for a follow-up period of 8 years. The present case further supports the notion that episodic nocturnal wandering represents an unusual type of nocturnal complex partial seizures.
发作性夜间漫游较为罕见，被认为是夜间癫痫的一种非典型形式，对抗惊厥治疗有反应。我们报告一例成人起病的发作性梦游和日间复杂视幻觉病例。动态脑电图记录提示这两种事件均为发作期现象。发作间期蝶骨电极脑电图和单光子发射计算机断层扫描研究显示左侧前颞叶有一个致痫灶。在夜间漫游期间，患者有怪异但无暴力行为，有发生轻微或严重自身伤害的风险。这两种事件在长达8年的随访期间均被卡马西平完全控制。本病例进一步支持了发作性夜间漫游代表一种不寻常类型的夜间复杂部分性发作的观点。
