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Suspected Narcolepsy Turned Out to Be Epilepsy and Sleep Apnea

MHD card showing a sleeping person lying face-up on a pillow under a crescent moon, with a breathing wave that pauses and then turns into a jagged seizure-like burst, illustrating a case of suspected narcolepsy that turned out to be epilepsy and sleep apnea.

In a 2026 case report from China, a 34-year-old woman with mild intellectual disability was sent for evaluation of possible narcolepsy. Sleep testing and EEG instead showed epilepsy and moderate obstructive sleep apnea.1 Research Highlights Narcolepsy was ruled unlikely: she took 9.3 minutes on average to fall asleep during daytime nap tests, with no early …

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Epilepsy and Alzheimer’s Blood Biomarkers in Older Adults

MHD featured image for epilepsy, Alzheimer’s blood biomarkers, and AT(N) profiles in older adults.

A preprint in 84 older adults with epilepsy found that abnormal Alzheimer's-related blood biomarkers were common, but the biomarker categories did not line up neatly with cognitive impairment. Research Highlights Only 32.1% had normal biomarkers: 27 of 84 older adults with epilepsy were A−T−N− using blood-based amyloid, tau, and neurodegeneration markers.1 AD-continuum profiles were common: …

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Seletracetam for Seizure Rescue: Non-Benzodiazepine Alternative Revisited

MHD featured image for seletracetam as a possible non-benzodiazepine seizure rescue therapy.

A 2026 CNS Drugs review argues that seletracetam, an abandoned second-generation racetam antiseizure drug, may be unusually well suited for seizure rescue: early oral studies involved 171 participants, photosensitivity responses occurred in 32 of 36 exposures, and one intranasal named-patient use reduced reading-induced spike rate from 3.1/min to 1.6/min without sedation. Research Highlights Rescue-therapy rationale: …

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SYNGAP1 Autistic Behaviors Linked to Seizure Type, Not Frequency

MHD featured image for SYNGAP1 seizure semiology and autistic behaviors.

A 337-person SYNGAP1-DEE registry preprint found caregiver-reported autistic behavior scores linked most strongly to atypical absence seizures (n = 77; FDR-adjusted p = .001), while peak seizure-frequency ratings were not detectably associated with those behavior scores.1 Research Highlights Seizure type carried the signal: atypical absences were associated with higher caregiver-reported autistic behavior scores in 77 …

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Levetiracetam Range in Children: 2.82-24.37 mcg/mL TDM

MHD featured image for levetiracetam therapeutic drug monitoring in children with epilepsy.

A 2026 real-world study involving 1,174 children with epilepsy proposed a levetiracetam therapeutic drug monitoring range of 2.82-24.37 mcg/mL, much lower than commonly cited adult-style ranges, but the same data also warned against treating a drug level as a stand-alone seizure-control predictor. Research Highlights Lower pediatric range: Sun et al. proposed an observational levetiracetam range …

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Autoimmune Focal Epilepsy: Antibody Testing and Immunotherapy

MHD featured image for autoimmune drug-resistant focal epilepsy and immunotherapy.

A 2026 structured review of autoimmune drug-resistant focal epilepsy argues for a narrow but clinically important claim: immune mechanisms can make seizures refractory in selected patients, but the evidence supports targeted testing and immunotherapy triage rather than treating every medication-resistant seizure disorder as autoimmune. Research Highlights Autoimmune epilepsy is a subset: Kunecki et al. estimated …

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