Article
Nicotine as target-therapy in Sleep-Related Hypermotor Epilepsy due to nAChR genes mutation: case report and systematic review of literature.
Sleep medicine - 1 Jan 2026
Tiscornia Maddalena, Bosisio Luca, Torta Francesca, Franchina Maria Paola, Chiarella Lorenzo, Marazzotta Valentina, Iadarola Antonella, Nobili Lino, Nobile Giulia
Abstract excerpt
OBJECTIVE: Ten to fifteen per cent of Sleep-Related-Hypermotor-Epilepsy (SHE) has genetic origin, mainly related to pathogenic variants of genes coding for nicotinic cholinergic receptor (nAChR) system. We reported a subject with SHE due to CHRNA4 mutation, successfully treated with Nicotine. We also provided a systematic review on the use of Nicotine as an anti-seizure-medication and sleep regulator in SHE due...
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