Actigraphy: A useful tool to monitor sleep-related hypermotor seizures

Sleep-related hypermotor epilepsy (SHE) is a rare form of focal epilepsy characterized by repeated episodes of vigorous hyperkinetic limb movements commonly confined to sleep. Seizures are highly stereotyped within patients and usually last less than two minutes.1 Wrist-actigraphy is commonly used to estimate the sleep-waking rhythm.2 Limb accelerometer sensors have been occasionally used for the detection of epileptic events during sleep,3-6 but routine wrist-actigraphy has not been described in SHE.

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