{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T08:02:47Z","timestamp":1764403367557,"version":"3.41.2"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>This study suggests that severe obstructive sleep apnea can present as sleep\u2010related epileptic or non\u2010epileptic seizures. A detailed history and physical examination, along with polysomnography and video electroencephalography findings can lead to the correct diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Obstructive sleep apnea (OSA) is defined by recurrent episodes of the upper airway complete or partial collapse while sleeping. The obstructive episodes result in gradual suffocation that increases breathing attempts till the person is awakened. The main manifestations are excessive daytime sleepiness, snoring, observed episodes of stopped breathing, and abrupt awakenings accompanied by gasping or choking. Nevertheless, there are very few reports of patients with OSA, manifesting other symptoms such as seizure\u2010like movements. Differentiating OSA with nocturnal seizures could be challenging due to their overlapping features. A 53\u2010year\u2010old man presented to the clinic, experiencing seizure\u2010like involuntary movements during nocturnal sleep for the past 2\u2009years with a frequency of 2\u20133 times per night. Neurologic examinations were normal. Further evaluation with polysomnography revealed impaired arousal followed by seizure\u2010like movements during sleep. Video electroencephalography (EEG) did not show any epileptiform discharges, ruling out the nocturnal seizure diagnosis. The patient was diagnosed with OSA. Subsequently, continuous positive airway pressure (CPAP) treatment resolved all symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9004","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T03:40:38Z","timestamp":1717472438000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["An unusual presentation of severe obstructive sleep apnea with nocturnal seizure\u2010like movements: A case report"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3857-1622","authenticated-orcid":false,"given":"Negin","family":"Rahimi","sequence":"first","affiliation":[{"name":"Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamed","family":"Amirifard","sequence":"additional","affiliation":[{"name":"Iranian Center of Neurological Research, Neuroscience Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2028-9935","authenticated-orcid":false,"given":"Melika","family":"Jameie","sequence":"additional","affiliation":[{"name":"Iranian Center of Neurological Research, Neuroscience Institute Tehran University of Medical Sciences  Tehran Iran"},{"name":"Neuroscience Research Center Iran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.07.002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2015.08.001"},{"issue":"2","key":"e_1_2_11_4_1","first-page":"120","article-title":"Obstructive sleep apnea diagnosis and management","volume":"114","author":"Goyal M","year":"2017","journal-title":"Mo Med"},{"key":"e_1_2_11_5_1","unstructured":"St LouisE Foldvary\u2010SchaeferN GarciaP.Sleep\u2010related epilepsy syndromes.2020."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S330986"},{"key":"e_1_2_11_7_1","unstructured":"KrimskyWR LeiterJC.Physiology of breathing and respiratory control during sleep. 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