The authors describe a case of a 15-year-old girl who presented with a
progressive sequence of nocturnal dystonic episodes, generalized seiz
ures, and diurnal dystonic episodes. A diagnosis of nocturnal paroxysm
al dystonia has been proposed in view of the association between noctu
rnal episodes and epileptic seizures, while the diurnal episodes are a
typical. Neurophysiological data recorded during critical episodes are
reported. A linkage between dystonic attacks and epilepsy is hypothes
ized.