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Snoring is an inspiratory noise, from airflow-induced vibration of the oropharyngeal soft tissues during sleep.1 This vibration results from a narrowing of the upper airways, caused by a disequilibrium between two forces: the inspiratory increment of the intrathoracic pressure and the phasic activation of oropharyngeal dilator muscles.1 Intermittent snoring (IS) is the result of interruptions due to apneas and hypopneas.1
We report two epileptic patients whose polysomnographic (PSG) monitoring suggested that their IS was of epileptic origin. Recording parameters included EEG, electromyogram (EMG) from the mylohyoideus and both deltoids, electro-oculogram, EKG, oronasal and thoracic respiration (monitored with a thermistor and a strain gauge, respectively), and microphone. Both patients had normal brain CT and MRI. Their seizures were incompletely controlled despite antiepileptic polytherapy.
Case reports.
Case 1.
An obese 46-year-old woman had experienced tonic-clonic seizures during sleep since age 11. At age 14, she developed complex partial seizures and epileptic falling seizures. Neurologic examination was unremarkable. Interictal …
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