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Nocturnal frontal lobe epilepsy, for example, produces episodes of sudden arousal, motor activity, vocalisation and sometimes complex behaviours during sleep that can be difficult to distinguish from parasomnias such as night terrors or sleepwalking. A child who repeatedly wakes in the night with unusual movements, stiffening, vocalisation or apparent distress, particularly if episodes are stereotyped and the child is difficult to rouse or console, should be evaluated for nocturnal seizures