睡眠相关过度运动性癫痫1例报告并文献复习  

Sleep-related hypermotor epilepsy:A case report and literature review

作　　者：谢丽 蒋晓江 XIE Li;JIANG Xiaojiang(Sleep and Psychology Department,Neurological Disease Center,Chongqing Western Hospital,Chongqing 400052,China)

机构地区：[1]重庆西区医院神经疾病中心睡眠心理科,重庆400052

出　　处：《中风与神经疾病杂志》2025年第3期230-232,F0002,共4页Journal of Apoplexy and Nervous Diseases

摘　　要：睡眠相关运动过度性癫痫(SHE)是一种罕见的癫痫类型,患病率约为1.8/100000。该病症主要表现为在非快速眼动睡眠期间出现的复杂运动行为,例如踢腿、挥动手臂、坐起等。由于这些症状与夜惊症、梦游等非癫痫性发作疾病相似,并且脑电图可能不显示异常放电,因此诊断SHE颇具挑战。目前,针对SHE的药物治疗策略缺乏大规模随机对照研究的证据支持,国内相关数据亦较为稀缺。本文报道1例SHE病例,旨在为该病的诊断和药物治疗提供临床参考。Sleep-related hypermotor epilepsy(SHE)is a rare type of epilepsy with a prevalence rate of approximately 1.8/100000.This disease mainly manifests as complex motor behaviors during non-rapid eye movement sleep,such as leg kicking,arm waving,and sitting up.Since such symptoms are similar to non-epileptic disorders such as night terrors and sleepwalking and abnormal discharges may not be observed on electroencephalography,the diagnosis of SHE is quite challenging.Currently,there is still a lack of evidence from large-scale randomized controlled studies to support pharmacological treatment strategies for SHE,and related data in China remain scarce.This article reports a case of SHE,in order to provide a clinical reference for the diagnosis and medication treatment of this disease.

关 键 词：睡眠相关过度运动性癫痫 多导睡眠监测 药物治疗 

分 类 号：R338.63[医药卫生—人体生理学] R742.1[医药卫生—基础医学]