Relação da epilepsia com a síndrome de apneia obstrutiva do sono: revisão

Venturi, Monique; Valois, André; Pontes, Igor Monteiro; Gomes, Marleide da Mota

doi:10.1590/s1676-26492010000100004

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“…The main risk factors for OSA were partially similar in our study when compared to the literature [1][2][3] . It was expected that the number of seizures, the number of antiepileptic drugs used (meaning pharmacoresistant epilepsy), age and depression score were proportionally related to high risk of OSA 1-3 but we did not find this relations statistically significant in our study.…”

Section: Discussionsupporting

confidence: 86%

“…The same authors considered that the change in seizure control is shown by increase in seizure frequency, first onset of seizures or new onset of status epilepticus. In this way, several case series have shown that the treatment of OSA may reduce seizures frequency, and lessen daytime sleepiness in adults 1 . Manni et al 4 , indicated that the risk factors for OSA are the same in epilepsy subjects as in the general population.…”

mentioning

confidence: 97%

“…Obstructive sleep apnea (OSA) and epilepsy are conditions that can be interrelated 1 . The prevalence of OSA in the general adult population in USA (ages 30 to 60) is 24% in men, and 9% in women according to Chihorek et al 2 .…”

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confidence: 99%

“…The auto-applied questionnaires were answered by the patients before the medical consultation. For the purpose of studying the specific topic about risk of OSA in this population, data was collected about: [1] 7,8 . The cut-off points for neck circumference (NC) regarding gender was based on Onat et al 9 .…”

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Risk and determinant factors for obstructive sleep apnea in patients with epilepsy

Venturi

Neves

Pontes

et al. 2011

Arq. Neuro-Psiquiatr.

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Objective: To evaluate the prevalence of risk of having obstructive sleep apnea (OSA) and its determinants in patients with epilepsy (PE). Method: 98 adult PE were prospectively screened for risk of OSA by Berlin questionnaire. Data was also collected about excessive daytime sleepiness, depression, anxiety, clinical and socio-demographic characteristics. Results: The PE main characteristics: 59-men/39-women, mean age=39.97, SD=12.3, range 18-66. The prevalence of the risk of OSA was 55.1% (CI 95%, 0.45-0.65). The high risk for OSA was related with body mass index (BMI) (p=0.000), neck circumference (NC) (p=0.000), arterial hypertension (AH) (p=0.000), and anxiety (p=0.006), without relationship with number of seizures, number of antiepileptic drugs, age or depression. The NC was statistically significant regarding risk of OSA, mainly in men. Conclusion: We found a high risk of OSA in this sample. The main implicated measures were the large NC, high BMI and anxiety. The anthropometric variables were more relevant than those related to epilepsy itself and similar to those of the general population. Key words: obstructive sleep apnea, epilepsy, obesity.Risco e determinantes para apneia obstrutiva do sono em pacientes com epilepsia RESUMO Objetivo: Avaliar riscos e fatores determinantes para síndrome da apneia obstrutiva do sono (SAOS) em pacientes com epilepsia (PCE). Método: 98 PCE adultos foram avaliados prospectivamente para risco de SAOS pelo questionário Clínico de Berlim, e também para sonolência excessiva diurna, depressão, ansiedade, características socioeconômico e demográficas. Resultados: 98 PCE foram estudados (59-homens / 39-mulheres, idade média=39,97, DP=12,3, 18-66 anos). A prevalência de risco para SAOS foi de 55,1% (CI 95%, 0,45-0,65). O alto risco de SAOS estava relacionado com índice de massa corporal (IMC) (p=0,000), circunferência do pescoço (CP) (p=0,000), hipertensão arterial (p=0,000) e ansiedade (p=0,006), sem relação com número de crises, drogas antiepiléptica, idade ou depressão. A CP foi estatisticamente significativa na relação com SAOS, principalmente em homens. Conclusão: Encontrou-se alta prevalência de risco de SAOS nesta população. As medidas mais relevantes foram CP principalmente em homens, IMC e ansiedade. As variáveis antropométricas foram mais importantes que aquelas relacionadas à própria epilepsia, o que foi similar à população em geral. Palavras-Chave: síndrome de apneia obstrutiva do sono, epilepsia, obesidade. Obstructive sleep apnea (OSA) and epilepsy are conditions that can be interrelated 1 . The prevalence of OSA in the general adult population in USA (ages 30 to 60) is 24% in men, and 9% in women according to Chihorek et al.2 . The literature reports that in older adults with epilepsy the presence of OSA is associated with sei-

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Section: Discussionsupporting

confidence: 86%

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confidence: 97%

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confidence: 99%

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confidence: 99%

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