Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Apr-Jun;16(2):91-96.
doi: 10.4103/jpn.JPN_137_20. Epub 2021 Jul 2.

Electrical Status Epilepticus During Slow-wave Sleep (ESES): Current Perspectives

Affiliations
Review

Electrical Status Epilepticus During Slow-wave Sleep (ESES): Current Perspectives

Pinar Arican et al. J Pediatr Neurosci. 2021 Apr-Jun.

Abstract

Electrical status epilepticus during slow-wave sleep (ESES) is an epilepsy syndrome with sleep-induced epileptic discharges and acquired impairment of cognition or behavior. Since the disease's original description in 1971, no clear consensus has emerged on diagnostic criteria or optimal treatment. The treatment of ESES can be challenging, often including numerous antiepileptic drugs, immunomodulatory agents, and even surgical interventions. There is little evidence to guide treatment because only retrospective studies and case reports on the efficacy of treatment of ESES are present in literature. In this paper, we aim to analyze the etiopathogenesis of ESES in the new genetic era and to evaluate the treatment modalities in accordance with the genetic data and electroclinic spectrum of ESES.

Keywords: ESES; Epilepsy; etiology; treatment.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Reported etiologies of ESES
Figure 2
Figure 2
Reported type of seizures in patients with ESES

References

    1. Patry G, Lyagoubi S, Tassinari CA. Subclinical “electrical status epilepticus” induced by sleep in children. A clinical and electroencephalographic study of six cases. Arch Neurol. 1971;24:242–52. - PubMed
    1. . Commission on classification and terminology of the international league against epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia. 1989;30:389–99. - PubMed
    1. Fernández IS, Chapman KE, Peters JM, Kothare SV, Nordli DR, Jr, Jensen FE, et al. The tower of Babel: Survey on concepts and terminology in electrical status epilepticus in sleep and continuous spikes and waves during sleep in North America. Epilepsia. 2013;54:741–50. - PMC - PubMed
    1. Berg AT, Berkovic SF, Brodie MJ, Buchhalter J, Cross JH, van Emde Boas W, et al. Revised terminology and concepts for organization of seizures and epilepsies: Report of the ILAE commission on classification and terminology, 2005-2009. Epilepsia. 2010;51:676–85. - PubMed
    1. Sánchez Fernández I, Peters JM, Akhondi-Asl A, Klehm J, Warfield SK, Loddenkemper T. Reduced thalamic volume in patients with electrical status epilepticus in sleep. Epilepsy Res. 2017;130:74–80. - PubMed