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Clinical Note |

Epileptic Laryngospasm Presenting as a Primary Sleep Disturbance

Ryan C. Murray, MD; Daniel Powell, BA; Joseph M. Curry, MD; Michael R. Sperling, MD; James J. Evans, MD; Joseph R. Spiegel, MD
Arch Otolaryngol Head Neck Surg. 2010;136(10):1025-1027. doi:10.1001/archoto.2010.174.
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Obstructive sleep apnea (OSA) may occur in up to 30% of patients with epilepsy.1 Excessive sleepiness, such as that seen in OSA, lowers the seizure threshold, and treatment of OSA with continuous positive airway pressure (CPAP) appears to decrease seizure frequency in patients with epilepsy.1 A growing consensus in the epilepsy literature stresses the importance of effective OSA management in helping to control the symptoms of epilepsy. However, few studies have investigated the converse: epilepsy's effect on sleep apnea.

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Figure 1.

Cortical brain map demonstrating a right frontal opercular focus of seizure activity. RF indicates right frontal subdural strip; RPFG, right posterior frontal grid; RSFG, right subfrontal grid; and RSYL, right sylvian subdural strip.

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Figure 2.

Transcutaneous video-electroencephalography demonstrating seizure activity corresponding to a right frontal opercular focus of seizure activity and to cortical brain mapping. RPFG indicates right posterior frontal grid.

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