Publication/Presentation Date
12-4-2020
Abstract
A 10-year-old female presented to the sleep clinic for a second opinion about her epilepsy diagnosis. She had been treated with antiepileptic medication but her events persisted. The child would wake up several times every night speaking nonsense words, appear confused to her family, and then go back to sleep. A video of the polysomnography (PSG) showed the patient having two of her typical events. The patient was eventually diagnosed with confusional arousal (CoA) secondary to obstructive sleep apnea (OSA). The nocturnal events resolved after her OSA was treated. This case highlights an atypical clinical presentation for a type of parasomnia like CoA that was misdiagnosed and treated for seizures. It will illustrate OSA and its mechanisms as a potential occasional treatable cause for CoA. It also demonstrates the importance of video- PSG in the work-up of CoA.
Volume
12
Issue
12
First Page
e11893
Last Page
e11893
Published In/Presented At
Morkous, S. S. (2020). A 10-Year-Old with Frequent, Disruptive, and Unexplained Night Awakenings. Cureus. https://doi.org/10.7759/cureus.11893
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
33415045
Peer Reviewed for front end display
Peer-Reviewed
Department(s)
Department of Pediatrics, Department of Pediatrics Faculty
Document Type
Article