Sleep-related hypermotor seizures originating from the occipital lobe.
occipital lobe
responsive neurostimulation
sleep‐related hypermotor epilepsy
stereo‐electroencephalography
Journal
Epileptic disorders : international epilepsy journal with videotape
ISSN: 1950-6945
Titre abrégé: Epileptic Disord
Pays: United States
ID NLM: 100891853
Informations de publication
Date de publication:
21 Sep 2024
21 Sep 2024
Historique:
revised:
09
08
2024
received:
09
06
2024
accepted:
31
08
2024
medline:
21
9
2024
pubmed:
21
9
2024
entrez:
21
9
2024
Statut:
aheadofprint
Résumé
We present two unique cases of sleep-related hypermotor epilepsy (SHE) originating from the occipital lobe. Patients with sleep-related seizures and drug-resistant occipital lobe epilepsy were identified from the ANPHY lab stereo-electroencephalography (SEEG) research database at the Duke Comprehensive Epilepsy Center. We identified two young females with frequent sleep-related focal seizures and occasional focal to bilateral tonic clonic seizures characterized by hypermotor movements. During wakefulness, the semiology also involved an elementary visual aura. They meet the 2016 diagnostic criteria for SHE, and SEEG monitoring with cortical stimulation mapping identified an epileptogenic zone (EZ) within the occipital lobe, with most seizures occurring out of NREM 2 sleep. Responsive neurostimulation devices were implanted, which indicated a trend for event detections in nocturnal periods. Extrafrontal SHE has characteristically been described in the temporal, insular-opercular, and parietal lobes. Here, we demonstrate using SEEG-confirmed EZ identification, that SHE can also originate in the occipital lobe. In patients with sleep-related seizures and hypermotor behavior, occipital lobe seizures thus should not be excluded from the differential diagnosis. Key in identifying this rare localization is non-frontal aura semiology and delay to motor symptoms, which may be supported by a visual field deficit and structural MRI abnormality.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 International League Against Epilepsy.
Références
Grigg‐Damberger M, Foldvary‐Schaefer N. Bidirectional relationships of sleep and epilepsy in adults with epilepsy. Epilepsy Behav. 2021;116:107735.
Nobili L, Cossu M, Mai R, Tassi L, Cardinale F, Castana L, et al. Sleep‐related hyperkinetic seizures of temporal lobe origin. Neurology. 2004;62(3):482–485.
Mai R, Sartori I, Francione S, Tassi L, Castana L, Cardinale F, et al. Sleep‐related hyperkinetic seizures: always a frontal onset? Neurol Sci. 2005;26(Suppl 3):s220–s224.
Proserpio P, Cossu M, Francione S, Tassi L, Mai R, Didato G, et al. Insular‐opercular seizures manifesting with sleep‐related paroxysmal motor behaviors: a stereo‐EEG study. Epilepsia. 2011;52(10):1781–1791.
Montavont A, Kahane P, Catenoix H, Ostrowsky‐Coste K, Isnard J, Guenot M, et al. Hypermotor seizures in lateral and mesial parietal epilepsy. Epilepsy Behav. 2013;28(3):408–412.
Proserpio P, Cossu M, Francione S, Gozzo F, Lo Russo G, Mai R, et al. Epileptic motor behaviors during sleep: anatomo‐electro‐clinical features. Sleep Med. 2011;12(Suppl 2):S33–S38.
Rosenow F, Luders H. Presurgical evaluation of epilepsy. Brain. 2001;124(Pt 9):1683–1700.
Ryvlin P, Barba C, Bartolomei F, Baumgartner C, Brazdil M, Fabo D, et al. Grading system for assessing the confidence in the epileptogenic zone reported in published studies: a Delphi consensus study. Epilepsia. 2024;65:1346–1359.
Tinuper P, Bisulli F, Cross JH, Hesdorffer D, Kahane P, Nobili L, et al. Definition and diagnostic criteria of sleep‐related hypermotor epilepsy. Neurology. 2016;86(19):1834–1842.
Rheims S, Ryvlin P, Scherer C, Minotti L, Hoffmann D, Guenot M, et al. Analysis of clinical patterns and underlying epileptogenic zones of hypermotor seizures. Epilepsia. 2008;49(12):2030–2040.
Jacobs J. Networks in posterior cortex epilepsies. Neurosurg Clin N Am. 2020;31(3):325–334.
Gibbs SA, Proserpio P, Francione S, Mai R, Cardinale F, Sartori I, et al. Clinical features of sleep‐related hypermotor epilepsy in relation to the seizure‐onset zone: a review of 135 surgically treated cases. Epilepsia. 2019;60(4):707–717.
Evangelisti S, Testa C, Ferri L, Gramegna LL, Manners DN, Rizzo G, et al. Brain functional connectivity in sleep‐related hypermotor epilepsy. Neuroimage Clin. 2018;17:873–881.
Bien CG, Benninger FO, Urbach H, Schramm J, Kurthen M, Elger CE. Localizing value of epileptic visual auras. Brain. 2000;123(Pt 2):244–253.
Frauscher B, Mansilla D, Abdallah C, Astner‐Rohracher A, Beniczky S, Brazdil M, et al. Learn how to interpret and use intracranial EEG findings. Epileptic Disord. 2024;26(1):1–59.
Nobili L, Francione S, Mai R, Cardinale F, Castana L, Tassi L, et al. Surgical treatment of drug‐resistant nocturnal frontal lobe epilepsy. Brain. 2007;130(Pt 2):561–573.
Nobili L, Cardinale F, Magliola U, Cicolin A, Didato G, Bramerio M, et al. Taylor's focal cortical dysplasia increases the risk of sleep‐related epilepsy. Epilepsia. 2009;50(12):2599–2604.
Gibbs SA, Proserpio P, Francione S, Mai R, Cossu M, Tassi L, et al. Seizure duration and latency of hypermotor manifestations distinguish frontal from extrafrontal onset in sleep‐related hypermotor epilepsy. Epilepsia. 2018;59(9):e130–e134.