Neuropsychiatry disorders in epilepsy with continuous spikes and waves during slow-wave sleep
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CSWS, epilepsy, neuropsychiatric disorders, neuropsychologic abnormalities, continuous spikes and waves during slow-wave sleepAbstract
Epilepsy with continuous spikes and waves during slow-wave sleep is an epileptic syndrome that results from the association of various types of partial seizures and / or generalized during sleep with an EEG pattern typical (spike-wave complexes continued) with atypical absence in waking1. It is known in the literature that psychological symptoms that appear in epilepsy are most abundant2. The association between psychosis and epilepsy is a fact that has been recognized since antiquity2. Thus, accompanying clinical epileptic, there may be other associated neuro- psychiatric disorders such as disorders of language, more or less pronounced decrease of CI3, conduct disorder with hyperactivity4, psychotic symptoms5, etc. Here are two clinical cases in which epilepsy with continuous spikes and waves during slow-wave sleep by the clinical findings are neuro-epileptic comorbid psychopathology following an independent course to the crisis.
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3. Taner Y, Erdo?an-Bakar E, Turanli G, Topçu MPsychiatric evaluation of children with CSWS (continuous spikes and waves during slow sleep) and BRE (benign childhood epilepsy with centrotemporal spikes/rolandic epilepsy) compared to children with absence epilepsy and healthy controls. Turk J Pediatr. 2007; 49 (4): 397-403.
4. Castañeda-Cabrero C, Lorenzo-Sanz G, Caro- Martínez E, Galán-Sánchez JM, Sáez-Alvarez J, Quintana-Aparicio P, Paradinas-Jiménez F. Electroencephalographic alterations in children with attention deficit hyperactivity disorder. Rev Neurol. 2003; 37 (10): 904-8.
5. Kyllerman M, Nydén A, Praquin N, Rasmussen P, Wetterquist AK, Hedström A. Transient psychosis in a girl with epilepsy and continuous spikes and waves during slow sleep (CSWS). Eur Child Adolesc Psychiatry. 1996; 5 (4): 216-21.
6. Ducuing F, LeHeuzey MF, Rouyer V, Mouren- Simeoni MC. Neuropsychiatric abnormalities and continuous spikes and waves during slow sleep syndrome: a case report. Arch Pediatr. 2004; 11 (4): 347-9.