Abstract
A peculiar behavior of a nine-year-old girl during sleep was captured by video EEG simultaneous recording system and investigated. It was proved that she was having epileptic seizures with frontal lobe origin. Her seizures began about one hour after falling asleep and occurred frequently during all night sleep. The seizure manifestations seemed to be tight eye closure, elevation of bilateral arms and rhythmi cal whole body shaking. She had no mental deficiency nor other neurological problems. Her brain CT, MRI and SPECT scans were entirely normal. Interictal EEG showed several low amplitude sharp activities predominating on the right frontal central area. Seventeen complete epileptic seizures were captured in a full-night EEG recording. And a part of ictal records revealed right frontal origin. Seizure control by antiepile ptic drugs was quite ideal. Although there is no other epileptic relatives, this condition was regarded to be the partial idiopathic epileptic syndrome of frontal lobe origin proposed by Vigevano and Fusco in 1993. This must be the first report of the syndrome in Japan. There may be not a few patients looked over as having nonepileptic seizures.
