Nocturnal motor events in epilepsy: Is there a defined physiological network?

Woolfe, Matthew; Prime, David J.; Tjoa, Linda; O'Keefe, S.G.; Rowlands, D. D.; Dionisio, Sasha

doi:10.1016/j.clinph.2019.05.033

Cited by 3 publications

(3 citation statements)

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“…Case series have been published for Australian SEEG patients, but these were not aimed primarily at reporting complication rates. [29][30][31][32] Importantly, SEEG is relatively new in Australia, being introduced only 10 years ago. The present study suggests that despite the relative inexperience when compared with European centres, overall, the complication rates and EZ localisation rates were comparable.…”

Section: Discussionmentioning

confidence: 99%

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Stereoelectroencephalography: a review of complications and outcomes in a new Australian centre

Murray‐Douglass,

Papacostas,

Ovington

et al. 2024

Internal Medicine Journal

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BackgroundSurgical management of refractory focal epilepsy requires preoperative localisation of the epileptogenic zone (EZ). To augment noninvasive studies, stereoelectroencephalography (SEEG) is being increasingly adopted as a form of intracranial monitoring.AimsThis study aimed to determine the rate of complications for patients undergoing SEEG and to report the success of SEEG with regard to EZ detection and seizure outcome following definitive surgery.MethodsA retrospective cohort design investigated all cases of SEEG at our institution. Surgical, anaesthetic and medical complications with subsequent epilepsy surgery and seizure outcome data were extracted from medical records. Multivariate logistic regression was used to investigate the relationship between both the number of electrodes per patient and the duration of SEEG recording with the rate of complications.ResultsSixty‐four patients with 66 implantations were included. Headache was the most common complication (n = 54, 82%). There were no major surgical or medical complications. Two anaesthetic complications occurred. EZ localisation was successful in 63 cases (95%). Curative intent surgery was performed in 39 patients (59%) and 23 patients achieved an Engel class I outcome (59% of those undergoing surgery). The number of electrodes and duration of recording were not associated with complications.ConclusionsNo patients in our series experienced major surgical or medical complications and we have highlighted the challenges associated with neuroanaesthesia in SEEG. Our complication rates and seizure outcomes are equivalent to published literature indicating that this technique can be successfully established in newer centres using careful case selection. Standardised reporting of SEEG complications should be adopted.

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Section: Discussionmentioning

confidence: 99%

“…Few studies investigating SEEG have previously reported data from Australia. Case series have been published for Australian SEEG patients, but these were not aimed primarily at reporting complication rates 29–32 . Importantly, SEEG is relatively new in Australia, being introduced only 10 years ago.…”

Section: Discussionmentioning

confidence: 99%

Stereoelectroencephalography: a review of complications and outcomes in a new Australian centre

Murray‐Douglass,

Papacostas,

Ovington

et al. 2024

Internal Medicine Journal

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“…50 Example movements include head banging, head rolling, body rocking, body rolling, and leg banging. 64 The movements usually have frequency of 0.5 Hz to 2 Hz and can be associated with humming or other inarticulate sounds. Compared with epileptic events, environmental disturbance, including being spoken to, may result in cessation of the movements.…”

Section: Epilepsy Versus Select Sleep-related Movement Disordersmentioning

confidence: 99%

Sleep and Epilepsy, Clinical Spectrum and Updated Review

Avidan²,

Engel³

2021

Sleep Medicine Clinics

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Among the epilepsy syndromes, self-limited epilepsy with centrotemporal spikes and Panayiotopoulos syndrome have seizures that occur more often during sleep whereas seizures associated with juvenile myoclonic epilepsy (JME) occur in general within 2 hours of awakening. Disturbed sleep as manifested by reduced sleep efficiency and decreased percentage of slow wave sleep commonly is found in patients with Lennox-Gastaut syndrome as well as focal epilepsy. Non-rapid eye movement parasomnia preferentially arise out of stage N3, do not manifest with hyperkinetic automatism, are not stereotyped, and are much less frequent compared with seizures associated with sleep-related hypermotor epilepsy. Blowing, deep inspiration, sniffling, coughing, and changes in respiratory rate and volume were seen more often with seizures than with rapid eye movement sleep behavior disorder (RBD), whereas dream recollection is more suggestive of RBD.

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