电子T1典型patte RT老杂志文章rns in portable monitoring for sleep apnoea: features of nocturnal epilepsy? JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 368 OP 375 DO 10.1183/09031936.00202211 VO 41 IS 2 A1 Parrino, Liborio A1 Milioli, Giulia A1 Grassi, Andrea A1 De Paolis, Fernando A1 Riccardi, Silvia A1 Colizzi, Elena A1 Bosi, Marcello A1 Terzano, Mario Giovanni YR 2013 UL //www.qdcxjkg.com/content/41/2/368.abstract AB Atypical cardiorespiratory patterns can be found during routine clinical use of portable monitoring for diagnosis of sleep-disordered breathing (SDB). Over 1,000 consecutive portable recordings were analysed to study the potential ictal nature of stereotyped cardiorespiratory and motor patterns. Snoring, airflow, thoracic effort, pulse rate, body position, oxygen saturation and activity of the anterior tibialis muscles were quantified. Recordings showing stereotyped polygraphic patterns recurring throughout the night, but without the features of sleep apnoea (apnoea/hypopnoea index <5 events·h−1), were selected for investigation. Once included in the study, patients underwent attended nocturnal video polysomnography. A total of 15 recordings showing repeated polygraphic patterns characterised by a sequence of microphone activation, respiratory activity atypical for sleep and wakefulness, heart rate acceleration and limb movements, followed by body position change, were selected for investigation. Once included in the study, patients underwent attended nocturnal video polysomnography that showed frontal epileptic discharges triggering periodic electroencephalographic arousals, autonomic activation and stereotyped motor patterns. A diagnosis of nocturnal frontal lobe epilepsy (NFLE) was established for all patients. NFLE should be taken into consideration in patients with stereotyped and recurrent behavioural features during portable monitoring carried out for diagnosis of SDB.