Amorim IL, Kauppila LA, Costa MR, Bentes C, Peralta R (2019) Epileptiform Activity in Patient with RBD-Like Symptomatology. J Sleep Disord Manag 5:024.


© 2019 Garrett MT. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESSDOI: 10.23937/2572-4053.1510024

Epileptiform Activity in Patient with RBD-Like Symptomatology

Isabel Loução Amorim, MD*, Linda Azevedo Kauppila, MD, Mariana Reis Costa, MD, Carla Bentes, MD, PhD, and Rita Peralta, MD

Department of Neurosciences and Mental Health, Neurology, Hospital de Santa Maria-CHLN, Portugal


REM sleep behavior disorder shares some clinical similarities with nocturnal epileptic seizures, which can result in misdiagnosis. We report a case of a man with Parkinson Disease diagnosis and parietal and frontal meningiomas who started to have abnormal sleep behaviors, suggestive of REM sleep behavior disorder. Video-polysomnographic showed periodic bilateral occipital epileptiform activity that occurred near arousals, where subtle movements were detected. During REM sleep no loss of atonia nor abnormal behaviors were detected. He was started on antiepileptic drugs, with improvement of the abnormal sleep behaviors. This case raises awareness for a possible role of epileptiform activity in patients with a REM sleep behavior disorder-like symptomatology.