Overnight Sleep EEG and Cerebrospinal Fluid Monoamines in Seizures Induced by Movement

Fukuyama, Yukio; Ochiai, Yōji; Hayakawa, T.; Miyagawa, Fumio

doi:10.1055/s-0028-1085320

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Such was the case in the pre-and post-medication sleep profiles of an 8-yearold boy reported by Fukuyama et aZ. 1 The changes in sleep structure are illustrated in Fig. 1 This stabilization appears to be due to the medication's action on the seizures per se, allowing more normal sleep to occur rather than due to the anti-convulsant's effect on sleep.…”

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confidence: 80%

Effects of anti-convulsant medication on sleep patterns

Johnson¹

1981

PsycEXTRA Dataset

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ELECTElftA review of the published literature on effects of anti-convulsant medication on sleep patterns revealed few studies. The paucity of studies is probably due to the fact that all-night, EEC-recorded sleep studies are not part of the usual diagnostic procedures for seizure patients. Seizure patients are seldom referred to the sleep laboratories and clinics, where the all-night sleep recording is routine. Also, few patients are treated by a single convulsant.Host studies have used barbiturates, and the effects of this class of drug on sleep stages appear to be the same whether the barbiturate is prescribed as an anti-convulsant or sedativehypnotic. The same sleep stage chang ys are also found for the benzodlazepines used as a sedativehypnotic and as an anti-convulsant. Acute studies indicate that anti-convulsants decrease REM sleep, while chronic ingestion decreases SWS, but total amount of NREM sleep is less affected. Sleep spindles usually are Increased. An epileptic patient's sleep pattern is most likely to be more normal or stabilized after effective treatment. This normalization appears to be due to the control of nocturnal seizures, which previously disrupted sleep, rather than due to any effect of the anti-convulsant per se on sleep patterns.

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confidence: 80%

Effects of anti-convulsant medication on sleep patterns

Johnson¹

1981

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Response of polygraphic sleep to phenytoin treatment for epilepsy. A longitudinal study of immediate, short- and long-term effects

Röder-Wanner

Noachtar

Wolf

1987

Acta Neurologica Scandinavica

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Report on a prospective longitudinal study of alterations in polygraphic sleep by phenytoin monotherapy for epilepsy. A first dose of 100mg already caused abbreviation of sleep latency and an increase of slow-wave sleep in the first NREM-REM cycle. In the course of adjustments to steady state, an increase of Stage 3 + 4 sleep in the later REM cycles developed, such that the percentage of slow-wave sleep for the whole night was also augmented, whereas the percentage of light sleep decreased. Sleep structure was affected particularly in the third NREM-REM cycle. With continuing therapy, however, these effects were reversed. The only permanent effect was an abbreviated sleep latency. There were only minimal differences in the response of generalized and of localization-related epilepsies. Serum drug levels had only a very limited influence, seizure control and length of follow-up had no influence on the results. As a collateral finding, a delayed further decrease of epileptic discharges during sleep was observed under long-term conditions in patients who were seizure-free and had been so since adjustment to the steady state.

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Overnight Sleep EEG and Cerebrospinal Fluid Monoamines in Seizures Induced by Movement

Cited by 2 publications

References 4 publications

Effects of anti-convulsant medication on sleep patterns

Effects of anti-convulsant medication on sleep patterns

Response of polygraphic sleep to phenytoin treatment for epilepsy. A longitudinal study of immediate, short- and long-term effects

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