Distúrbios do sono na epilepsia do lobo temporal

Almeida, Cláudia Ângela Vilela de; Lins, Otávio Gomes; Lins, Salustiano Gomes; Laurentino, Silvia Gomes; Valênça, Marcelo Moraes

doi:10.1590/s0004-282x2003000600017

Cited by 22 publications

(10 citation statements)

References 14 publications

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“…This is in contrast to the findings in Ramachandraiah and Krishnan's studies which studied polysomnographic findings in JME patients this could be explained as our patients were not exclusively with JME but also other forms of idiopathic epilepsies were included also not all the patients were on the same AED or on monotherapy [8,12]. In Maganti and his colleagues study there was also no statistically significant increase in PLMI between patients and control that could be explained by small number of studied patients [11] and their relative younger mean age 13.36 years [13].…”

Section: 4 Discussioncontrasting

confidence: 90%

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Sleep Architecture in Patients with Idiopathic Epilepsy

et al. 2019

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Purpose Studying the effects of epilepsy on sleep and its architecture and sleep on the epilepsy activity using sleep questionnaires, electroencephalogram (EEG), and polysomnogram (PSG) in patients with idiopathic epilepsy. Methods 25 patients with idiopathic epilepsy and 25 healthy controls (M: F = 12:13; age: 21.32 ± 4.23 years) underwent assessment with sleep questionnaires, EEG and overnight PSG. Statistical Package for the Social Sciences vs.21 was used for statistical analysis. A 'p' b 0.05 was considered as statistically significant. Results There was poor sleep quality in patients compared to controls (p = 0.02), while there was no significant difference in Epworth sleepiness scale scores between the groups. There was poor sleep quality in patients with idiopathic epilepsy compared to controls. Conclusion Patients with epilepsy activity had poor sleep quality in comparison to those with controlled disease status. Patients with juvenile myoclonic epilepsy showed initial insomnia as they had significant increase in sleep onset latency in comparison with other patients with idiopathic generalized epilepsy.

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Section: 4 Discussioncontrasting

confidence: 90%

“…In another study of 39 TLE patients, all of whom showed sleep architecture fragmentation, decreased amount of REM sleep (92%), increased number of awakenings, increased stage shifts (100%) and increase in time awake after sleep onset (77%). Excessive day time sleepiness (EDS) was the most frequent complaint in these patients [11].…”

Section: 4 Discussionmentioning

confidence: 99%

Sleep Architecture in Patients with Idiopathic Epilepsy

et al. 2019

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“…Light is an exogenous synchronizer of human biological rhythms and some forms of epilepsy are highly photosensitive (Parain & Blondeau 2000;Yang et al 2008). Moreover, it is known that sleep deprivation can precipitate seizures (Robinson et al 2008) and although some medication used to treat the disease can cause sleep abnormalities, most act through a mechanism that stabilizes sleep patterns (Almeida et al 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Patients with JME tend to exhibit a delayed phase sleep cycle, prolonged sleepiness, and functional impairment in the first part of the day (Punz & Schmitz 2006). These abnormalities have yet to be fully elucidated, but it is suggested that patients with JME tend to lack circadian rhythmicity in their lifestyle and that lifestyle impacts symptoms (Almeida et al 2003;Robinson et al 2008;Yang et al 2008). This is a plausible hypothesis, since lack of circadian rhythmicity affects sleep patterns and sleep deprivation is the primary trigger of seizures in JME (Ryasi et al 2008).…”

Section: Introductionmentioning

confidence: 99%

Social rhythm and other chronobiological findings in juvenile myoclonic epilepsy

Schimitt

Levandovsky

Hidalgo

et al. 2015

Biological Rhythm Research

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We evaluated the correlation between chronobiological variables and characteristics of juvenile myoclonic epilepsy. Sample: 17 individuals epileptic outpatients and respective controls. Instruments: The Social Rhythm Metric for social zeitgebers, lux meter, and an ACT10 ® thermistor for activity-rest rhythm, light exposure, and peripheral body temperature. Regularity scores showed an inverse correlation with age at disease onset (r = −0.5; p < 0.05), but not with disease duration or stabilization time. A significant intergroup difference was recorded for mean diurnal peripheral temperature (p < 0.01) and activity amplitude (= 0.06). There was a correlation between activity and temperature means in both groups. These results underscore the relationship between epilepsy and the biological clock on a physiological level. Epilepsy, in turn, is influenced by the circadian rhythm, indicating the potential involvement of the body's internal clock in the development of the disease or the seizure recurrence pattern.

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“…Patients with epilepsy usually complain of daytime sleepiness, 4 which has a serious impact on their quality of life 5 . This symptom reflects a decrease in physiological processes that maintain vigilance 6 and may arise from a variety of factors present in epilepsy, such as acute effects of daytime and nocturnal seizures 3 , polytherapy or daily dose of AEDs 7 , coexistence of primary sleep disorders 8 , including abnormalities of sleep microarchitecture 9 or psychiatric comorbidities 10 .…”

mentioning

confidence: 99%

Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy?

Vascouto¹,

Thais²,

Osório³

et al. 2018

Arq. Neuro-Psiquiatr.

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Sleepiness and cognitive impairment are common symptoms observed in patients with epilepsy. We investigate whether self-reported sleepiness is associated with cognitive performance in patients with refractory mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS). Seventy-one consecutive patients with MTLE-HS were evaluated with the Stanford Sleepiness Scale (SSS) before neuropsychological evaluation. Their mean SSS scores were compared with controls. Each cognitive test was compared between patients with (SSS ≥ 3) or without sleepiness (SSS < 3). Imbalances were controlled by regression analysis. Patients reported a significantly higher degree of sleepiness than controls (p < 0.0001). After multiple linear regression analysis, only one test (RAVLT total) remained associated with self-reported sleepiness. Conclusion: Self-reported sleepiness was significantly higher in MTLE-HS patients than controls, but did not affect their cognitive performance. If confirmed in other populations, our results may have implications for decision making about sleepiness screening in neuropsychological settings.

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Distúrbios do sono na epilepsia do lobo temporal

Cited by 22 publications

References 14 publications

Sleep Architecture in Patients with Idiopathic Epilepsy

Sleep Architecture in Patients with Idiopathic Epilepsy

Social rhythm and other chronobiological findings in juvenile myoclonic epilepsy

Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy?

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