Queston #27406Note

Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) presents in the first two decades of life and with sleep-related hyperkinetic aware seizures. 

Patients can have a prodrome of fear before the motor component of the seizure. Mutations of nicotinic acetylcholine receptors genes CNRNA4 or CHRNB2 can cause this epilepsy syndrome

Hyperkinetic frontal lobe seizures are frequently misdiagnosed as parasomnias like night terrors or sleepwalking (somnambulism); however, patients with night terrors or somnambulism do not have retained awareness during events