Frontal lobe seizure types and localization

REM parasomnias

Paradoxical insomnia

Sleep and epilepsy

Patients with epilepsy frequently complain of sleep issues. Ictal and interictal discharges may disrupt sleep and the regulatory processes associated with sleep. Excessive daytime sleepiness may be related to sleep deprivation, sleep disorder, epilepsy-related sleep disruption, or the effect of medication. Insomnia may be related to poor sleep hygiene, a comorbid sleep disorder, epilepsy-related sleep disruption, or the effect of medication.

Sleepwalking

Sleepwalking is a disorder of arousal with ambulation, typically originating from deep (N3) NREM sleep but sometimes from N2. Episodes typically last only a few minutes, but prolonged episodes can occur, especially in the setting of sedative hypnotic medications. The sleepwalker is usually able to navigate obstacles without difficulty and the eyes are open.