Motor and vocal agitation are similar to that of the SMA with short repetitive thrashing, pedaling, thrusting, laughing, screaming and/or crying. [en.wikipedia.org]

They may turn their eyes and head to one side or raise one arm, and may cry out. Status epilepticus is common in frontal lobe epilepsy. There are few well-defined frontal lobe seizure syndromes. [aboutkidshealth.ca]

[…] characterized by motor agitation and gestural automatisms; viscerosensory symptoms and strong emotional feelings often described; motor activity repetitive and may involve pelvic thrusting, pedaling, or thrashing, often accompanied by vocalizations or laughter/crying [emedicine.medscape.com]

The individual may also sing songs, produce different voice, groaning sounds or cry. This disease can be misunderstood as night terrors or night mares. [biomedpharmajournal.org]

These include feelings of oppression, shivering, and a sensation of body heat. Autonomic symptoms such as palpitations, choking, pallor, flushing, salivation and migraine like sensations are also common. [epilepsyqueensland.com.au]

The common symptoms of people suffering from ADNFLE are shivering, touchy, being pushed or feeling of falling ,a sense of fear. Some people also reported a feeling of choking, breathlessness or fast breathing. [biomedpharmajournal.org]

Screaming was also present in patients #4,7, vocalizations were also present in patients #1, 3, 5, and prominent tachypnea was also present in patient #1. [sleepscience.org.br]

Autonomic symptoms such as palpitations, choking, pallor, flushing, salivation and migraine like sensations are also common. Occasionally bizarre behaviour and complex motor activities can sometimes be observed. [epilepsyqueensland.com.au]

Some people also reported a feeling of choking, breathlessness or fast breathing. It is still unclear that what brings seizures in individual with ADNFLE. Seizures that dominate male is NFLE(7:3). [biomedpharmajournal.org]

Some symptoms of sleep apnea overlap with those of ADNFLE, such as sudden awakening accompanied by a feeling of choking and on occasion motor activity which makes diagnosis difficult based on symptoms alone. [en.wikipedia.org]

Tachycardia and irregular breathing are evident. Fig. 3 ( A ) An ENW seizure. [academic.oup.com]

Autonomic hyperactivity was remarkable in many cases: tachycardia (four cases) and sustained tachypnea with tachycardia (one case) appeared synchronously with seizure onset or accompanied the movement artifacts. [sleepscience.org.br]

Korb-Savoldelli V, Gillaizeau F, Pouchot J, Lenain E, Postel-Vinay N, Plouin P-F, Durieux P, Sabatier B. 2012 Validation of a French version of the 8-item Morisky medication adherence scale in hypertensive adults. J. Clin. [royalsocietypublishing.org]

Differential diagnosis Differential diagnoses include paroxysmal dyskinesia, familial focal epilepsy with variable foci, restless legs syndrome, periodic limb movement disorders (PLMS), REM sleep behavior disorders (RBD), nocturnal panic attacks, non-REM [orpha.net]

The authors emphasized that the FLEP scale was particularly suited in distinguishing NFLE from NREM parasomnias more than in distinguishing NFLE from REM sleep behavior disorder. [sleepscience.org.br]

Persistent disruption in the bilateral vmPFC produced by frequent seizures, led to reversible interictal antisocial behavioral disorders 27. [nature.com]

Chronic behavioral disorders of human REM sleep: a new category of parasomnia. Sleep 1986 ; 9 : 293 –308. Sforza E, Montagna P, Rinaldi R, Tinuper P, Cerullo A, Cirignotta F, et al. [academic.oup.com]

Orbitofrontal cortex Impaired awareness, initial repetitive automatisms, olfactory hallucinations and illusions and autonomic features may be seen. [epilepsydiagnosis.org]

In five cases, carbamazepine was withdrawn because it was ineffective, and phenytoin (in two) or clobazam (in three, in one case associated with valproic acid) were instituted, without any significant efficacy. [academic.oup.com]

grimacing, vocalization, or speech arrest; seizures are frequently preceded by a somatosensory aura; complex automatisms, such as kicking, laughing, or pelvic thrusting, may be present; responsiveness often preserved Primary motor cortex - Usually focal [emedicine.medscape.com]

Motor symptoms : Facial grimacing and complex automatisms like kicking and pelvic thrusting Vocal symptoms : Laughing, yelling, or speech arrest. [5] Primary motor cortex The primary motor cortex has jacksonian seizures that spread to adjacent areas of [en.wikipedia.org]

Finally, in only 15% of the episodes was the first movement opening of the eyes, then moving the lower limbs (4%) and the head (5%); in 4%, seizures began with pelvic movements; in 2% of the cases, patients had a facial grimace or swallowed (2%); in only [academic.oup.com]

Frontal lobe seizure characteristics can include aggressive behavior, agitation, screaming and exhibiting physical movements similar to bicycling. These seizures are usually brief. [uwhealth.org]

[…] nocturnal frontal lobe epilepsy (ADNFLE); Nocturnal frontal lobe epilepsy (NFLE) Description Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is characterized by nocturnal, frequent, brief and stereotypic seizures that include explosive onset, screaming [genome.jp]

Motor and vocal agitation are similar to that of the SMA with short repetitive thrashing, pedaling, thrusting, laughing, screaming and/or crying. [en.wikipedia.org]

Screaming was also present in patients #4,7, vocalizations were also present in patients #1, 3, 5, and prominent tachypnea was also present in patient #1. [sleepscience.org.br]

The mean lifetime duration of somnambulism is 7 years ( Sours et al ., 1963 ), compared with 20 12 years in the case of our patients with NFLE. [academic.oup.com]

[…] seizures, consisting of stereotypic sudden arousals that recur throughout the night in a periodic pattern, to more elaborate seizures, with complex dystonic and dyskinetic phenomena, or to longer seizures consisting of aimless wandering, simulating somnambulic [ncbi.nlm.nih.gov]

Dissociative disorders presenting as somnambulism: polysomnographic, video and clinical documentation (8 cases). Dissociation 1989;2:194-204. [24] Mahowald MW, Schenck CH. Nocturnal dissociation—Awake? Asleep? Both? Or neither?[editorial]. [sleepscience.org.br]

Diagnosis of NFLE It is quite difficult to diagnose the frontal lobe epilepsy because the symptoms are same like sleep disorder or night terror and psychiatric problems. [biomedpharmajournal.org]

Dorsolateral frontal cortex In the dominant hemisphere, a seizure occurring in or near Broca's area can result in aphasia or dysphasia in a patient who is otherwise awake and responsive. [epilepsydiagnosis.org]

Motor symptoms : Facial grimacing and complex automatisms like kicking and pelvic thrusting Vocal symptoms : Laughing, yelling, or speech arrest. [5] Primary motor cortex The primary motor cortex has jacksonian seizures that spread to adjacent areas of [en.wikipedia.org]

NFLE) Description Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is characterized by nocturnal, frequent, brief and stereotypic seizures that include explosive onset, screaming, agitation, stiffening, kicking or bicycling of the legs, and incontinence [genome.jp]

Seizures are typically brief, and can have prominent vocalization, bizarre behavior, urinary incontinence, and head and eye deviation. Frontal lobe seizures may be exclusively nocturnal and often cluster. [epilepsydiagnosis.org]

[…] seizures were recorded in 27 patients, including 2 cases of aura, 4 cases of bilateral asymmetric tonic seizure, 9 cases of unilateral tonic, 3 cases of hypermotor, 5 cases of GTCS, 4 cases of autonomic symptom, 4 cases of versive seizure, and 2 cases of incontinence [alliedacademies.org]

Seizures are typically brief, and can have prominent vocalization, bizarre behavior, urinary incontinence, and head and eye deviation. Frontal lobe seizures may be exclusively nocturnal and often cluster. [epilepsydiagnosis.org]