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Clinical Note
October 18, 2010

Epileptic Laryngospasm Presenting as a Primary Sleep Disturbance

Author Affiliations

Author Affiliations: Departments of Otolaryngology–Head and Neck Surgery (Drs Murray, Curry, and Spiegel and Mr Powell), Neurology (Dr Sperling), and Neurosurgery (Dr Evans), Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Arch Otolaryngol Head Neck Surg. 2010;136(10):1025-1027. doi:10.1001/archoto.2010.174

Obstructive sleep apnea (OSA) may occur in up to 30% of patients with epilepsy.1 Excessive sleepiness, such as that seen in OSA, lowers the seizure threshold, and treatment of OSA with continuous positive airway pressure (CPAP) appears to decrease seizure frequency in patients with epilepsy.1 A growing consensus in the epilepsy literature stresses the importance of effective OSA management in helping to control the symptoms of epilepsy. However, few studies have investigated the converse: epilepsy's effect on sleep apnea.

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