![]() It is often associated with an encephalopathy (ESES syndrome) characterized by epileptic seizures, continuous spike-wave discharges in NREM sleep, global or selective regression of cognitive functions, and motor impairments. Her case illustrates that sleep clinicians and technologists need to recognize the distinctive age-related electroencephalogram (EEG) characteristic of electrical status epilepticus of sleep (ESES), understand its clinical significance and morbidity, and the need for a prompt neurological referral.ĮSES is an EEG pattern characterized by continuous (or near continuous) spike-wave discharges during NREM sleep. Following adenotonsillectomy, the patient’s postoperative polysomnogram (PSG) results showed almost continuous bilateral generalized spike-wave discharges in NREM sleep. ![]() Unexpected electrical status epilepticus of sleep (ESES) in a routine pediatric polysomnogramĪ 5-year-old girl with microcephaly was initially referred to the University of New Mexico Sleep Disorders Center for evaluation of suspected pediatric obstructive sleep apnea.
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