Sleep and Epilepsy

Bazil, Carl W.

doi:10.1055/s-0037-1604352

Cited by 27 publications

(22 citation statements)

References 44 publications

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“…However, beyond the common denominator of a change in awareness, there are various clinicopathological connections between seizure disorders and sleep. In people with epilepsy, sleep may be disrupted by nocturnal epileptic activity or antiepileptic drugs and, conversely, sleep states can influence the onset and course of seizures . Among sleep disorders that are presumably associated with epilepsy, obstructive sleep apnea–hypopnea syndrome (OSAHS) has received particular attention .…”

Section: Introductionmentioning

confidence: 99%

Abnormal sleep in patients with epileptic or dissociative (non‐epileptic) seizures: a polysomnography study

Popkirov

Stone

Derry

2018

Euro J of Neurology

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Section: Introductionmentioning

confidence: 99%

Abnormal sleep in patients with epileptic or dissociative (non‐epileptic) seizures: a polysomnography study

Popkirov

Stone

Derry

2018

Euro J of Neurology

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“…It is known, in fact, that overuse of digital media and screens may place children or teenager at risk of obesity, sleep problems, gaming disorder, cyberbullying and risky behaviours (substance abuse, sexual behaviours). In literature the effects of sleep on epileptic seizures are described extensively [35][36][37][38][39]; on the contrary, studies regarding the effects of MMDs on seizures are poor. Probably, seizures might be a possible risk, but future studies are desirable to correlate MMD use with seizures and to understand any pathophysiological mechanisms of them.…”

Section: Discussionmentioning

confidence: 99%

Is Covid-19 lockdown related to an increase of accesses for seizures in the emergency department? An observational analysis of a paediatric cohort in the Southern Italy

et al. 2020

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Background The World Health Organization (WHO) declared a global pandemic of Covid-19 on 11 March 2020. The lockdown caused a lifestyle changes: an increase in the use of mobile media devices (MMDs), sleep and psychiatric disorders, incorrect habits regarding food and physical activities. We investigate prevalence of admission for seizures at our emergency department (ED), during Italian lockdown, comparing with that of the same period of the previous year (2019), and the relationship with some lifestyle changes. Methods In this observational study, patients (4–14 years) with seizures that accessed at our ED, during Italian lockdown, were eligible. Non-epileptic events and febrile seizures were excluded. We describe two groups: patients with new-onset seizures and not. Moreover, a questionnaire concerning use of MMDs and sleep habits was administered. Results Fifty-seven patients were included; median age 8.03 years. Considering only paediatric medical emergencies, the prevalence of accesses for seizures was 2.6% (CI 95% 0.020–0.034), while the incidence was 0.94% (CI 95% 0.006–0.0149). There was a statistically significant difference with prevalence of previous years, χ2 102.21 (p = 0.0001). We also reported a difference in daily screen time (DST) (p = 0.001) and total sleep time (TST) (p = 0.045), in all population, between period pre- and during lockdown. A negative correlation between DST and seizures latency (Spearman’s ρ -0.426, p = 0.038) was found. In the two groups, the results were partially overlapping. Conclusions During lockdown period, we assisted to an increase of accesses for seizures. It is conceivable that a sleep time change and/or higher MMD use could act as triggers for seizures.

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“…In addition, sleep-wake cycle and its regulatory mechanisms can affect epilepsy. Putting these data in mind, we could hypothesize a relation between epilepsy and sleep disorders [8]. In patients with epilepsy, studies of sleep architecture have been a very fruitful area of clinical research [9].…”

Section: Discussionmentioning

confidence: 99%

Sleep pattern in epilepsy patients: a polysomnographic study

Tork

Rashed

Elnabil

et al. 2020

Egypt J Neurol Psychiatry Neurosurg

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Background: Sleep disorders and epilepsy commonly exist and affect each other. Patients with epilepsy often complain of poor sleep and on the other hand, poor sleep makes epilepsy control difficult. Objectives: We aimed at comparing the sleep disturbances in a group of patients with medically controlled epilepsy versus another group with medically refractory epilepsy, from the electrophysiological standpoint. Subjects and methods: Sixty epilepsy patients were included; half of them with controlled epilepsy were assigned as group I, and the other half with refractory epilepsy was assigned as group II. All patients had an overnight polysomnogram and sleep EEG done. We excluded any patient with abnormal general or neurological clinical examination. Results: Patients in group II, had significantly delayed sleep onset latency and REM latency. However, higher arousal index, insomnia, and periodic limb movement index were found to be significantly higher in group I. Respiratory events; as light sleep durations, were observed to be higher in Group II, in addition to apnea-hypopnea index that was significantly higher in this group. Conclusion: Epilepsy affects sleep architecture and sleep-related events. Patients with refractory epilepsy suffer from more disturbance in sleep patterns. Moreover, antiepileptic drugs can have a diverse effect on sleep architecture and quality in epileptic patients.

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Sleep and Epilepsy

Cited by 27 publications

References 44 publications

Abnormal sleep in patients with epileptic or dissociative (non‐epileptic) seizures: a polysomnography study

Abnormal sleep in patients with epileptic or dissociative (non‐epileptic) seizures: a polysomnography study

Is Covid-19 lockdown related to an increase of accesses for seizures in the emergency department? An observational analysis of a paediatric cohort in the Southern Italy

Sleep pattern in epilepsy patients: a polysomnographic study

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