Chapter

Seizures and Stimulators and Sleep, Oh My!

Joanna Fong, Charles Bae, Kwang ik Yang and Nancy Foldvary-Schaefer

in A Case a Week: Sleep Disorders from the Cleveland Clinic

Published on behalf of Oxford University Press

Published in print September 2010 | ISBN: 9780195377729
Published online April 2013 | e-ISBN: 9780199322985 | DOI: http://dx.doi.org/10.1093/med/9780195377729.003.0049
Seizures and Stimulators and Sleep, Oh My!

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Chapter 47 introduces a 43-year-old man with a history of Type I diabetes mellitus who developed seizures at 36 years of age. His birth and development were normal. There was no history of head trauma, central nervous system (CNS) infection, developmental delay, or febrile seizures. Seizures were preceded by an aura of fear followed by unresponsiveness and oral and manual automatisms. At times, partial seizures evolved to secondary generalized tonic clonic seizures (GTCs). His seizures persisted despite trials of more than 10 antiepileptic drugs (AEDs) in monotherapy and various combinations. As a result, he underwent vagus nerve stimulation (VNS) implantation to improve his seizure control. His daughter developed temporal lobe seizures in early childhood.

Chapter.  2496 words.  Illustrated.

Subjects: Neurology ; Sleep Medicine

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