“Nocturnal Seizures” in Idiopathic Pulmonary Arterial Hypertension
1Sleep Disorders Center of New England, St. Vincent Hospital, Worcester, MA; 2Cardiovascular Nursing Patient Services, Boston Children's Hospital, Boston, MA; 3Department of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, MA; 4Center for Pediatric Sleep Disorders, Boston Children's Hospital, Harvard Medical School, Boston, MA
The usual differential diagnoses of nocturnal events in children include parasomnias, nocturnal seizures, nocturnal reflux (Sandifer syndrome), hypnic jerks, periodic limb movements of sleep, and sleep disordered breathing. We report a previously healthy young girl who presented to the sleep clinic for evaluation of nocturnal events which were diagnosed as medically refractory nocturnal seizures. It was not until a syncopal event occurred in the daytime, which prompted referral for cardiac evaluation, the diagnosis of idiopathic pulmonary arterial hyper-tension (IPAH) was made. Sleep physicians should consider IPAH in the differential diagnosis of nocturnal events in children.
Izzo A; McSweeney J; Kulik T; Khatwa U; Kothare SV. “Nocturnal seizures” in idiopathic pulmonary arterial hypertension. J Clin Sleep Med 2013;9(10):1091-1092.
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