Seizures induced by exercise

Ogunyemi, Abayomi O.; Gómez, Manuel R.; Klass, Donald W.

doi:10.1212/wnl.38.4.633

Cited by 64 publications

(36 citation statements)

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“…However, there are a few reports of patients with exercise-induced seizures (4,14,19,24). Bennett (19) claimed that complex partial seizures with or without seizures secondarily generalized may be the seizure type most susceptible to activation during exercise.…”

Section: Discussionmentioning

confidence: 99%

“…He suggested that the temporal lobe or the limbic system is more sensitive to exercise-induced epileptiform discharges than are other brain regions. Ogyniemi et al (24) reported 3 patients with seizures during exercise; 2 with generalized tonic-clonic seizures and 1 with absences. All patients had a normal standard EEG, but generalized epileptiform EEG discharges were activated by exercise.…”

Section: Discussionmentioning

confidence: 99%

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Does Physical Exercise Influence the Occurrence of Epileptiform EEG Discharges in Children?

Nakken

Løyning

et al. 1997

Epilepsia

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Summary:Purpose: To determine if, and how, epileptiform EEG discharges in children were influenced by physical exercise.Methods: Twenty-six children with intractable partial and generalized epilepsy exercised during video-telemetry recording, aiming at exhaustion after -10 min.Results: During the exercise, epileptiform discharges decreased in 20 of 26 children (17 children had at least 25% reduction) and showed a rebound increase after the exercise (17 of 26 children) compared to baseline conditions. This exerciseinduced reduction in epileptiform discharges reached statistical significance only in the 16 patients with localization-related epilepsy. Five patients showed an atypical EEG response to exercise with either unchanged or increased epileptiform activity while exercising. As compared to the other patients, these 5 children had experienced frequent clinical seizures during or immediately after exercise in their leisure time.Conclusions:In the majority of the tested children, epileptiform EEG discharges decreased during exercise. "Exercise-EEG" may be a helpful diagnostic tool to identify patients who are disposed to have exercise-induced seizures. Key Words: Epilepsy-Exercise-Interictal EEG discharge.Reduced physical fitness among people with epilepsy is most probably due to voluntary hypoactivity and lack of exercise (1,2). Many parents of children with epilepsy appear to have a persistent fear of exercise-induced seizures, a fear that often results in understimulation and overprotection of the children. In our experience, overprotected and sedentary children appear to continue to overprotect themselves as adults, and many people with epilepsy enter a vicious circle: hypoactivity-detrainingfunctional deterioration-further hypoactivity. This occurs despite the accepted advice from most of today's epileptologists: that is, people with epilepsy should be encouraged to lead as active and vigorous a life as possible (3).In a previous study, we reported that 4 weeks of intensive physical exercise among young, inactive patients with intractable epilepsy did not alter their seizure susceptibility significantly, although there were considerable individual variations (4). However, during the physical exercise, we made no EEG recordings of the patients. The aim of the present study was to evaluate whether intensive physical exercise influences the occur-

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Does Physical Exercise Influence the Occurrence of Epileptiform EEG Discharges in Children?

Nakken

Løyning

et al. 1997

Epilepsia

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“…This limited number of seizures during long period of exercise (1680 h), strengthen this fact. Indeed, seizures exacerbated by physical exercise are uncommon in humans 7,9,18 . one study 19 found that only 2% of patients with epilepsy had exercise-induced seizures (defined as seizures in >50% of training sessions).…”

Section: Resultsmentioning

confidence: 99%

“…other studies have suggested that exercise raises seizure threshold and may confer a protective effect on epileptic patients 3,6 . Seizures during exercise are rare, but there are a few reports of exercise-Epilepsy: physical exercise effect rat Arida et al induced ictal events 7,8 . however, the existing clinical data on the impact of exercise on patient outcomes have limitations.…”

mentioning

confidence: 99%

Physical exercise in rats with epilepsy is protective against seizures: evidence of animal studies

Arida

Scorza

Terra

et al. 2009

Arq. Neuro-Psiquiatr.

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-People with epilepsy have been discouraged from participating in physical activity due to the fear that it will exacerbate seizures. Clinical and animal studies indicate a reduction of seizure frequency as well as decrease susceptibility to subsequently evoked seizures after an exercise program. Analyses from experimental studies of animals with epilepsy submitted to physical training programs were performed. In all studies the physical training was able to reduce the number of spontaneous seizures in rats with epilepsy. Seizure occurrence during exercise was relatively absent in the majority of studies. No death was found in animals with epilepsy during 1680 h of exercise. Based on these results it is plausible encouraging persons with epilepsy to non-pharmacological treatments and preventative measures such as physical exercise.KEy wordS: exercise, physical training, epilepsy, seizure, rat.exercício físico em ratos com epilepsia como fator protetor contra crises epilépticas: evidencias de estudos em animais resumo -Pessoas com epilepsia têm sido desencorajadas da prática de atividade física por receio do exercício físico exacerbar as crises epilépticas. Estudos clínicos e em animais mostram uma redução da frequência de crises, assim como diminuição da susceptibilidade a crises subseqüentes após programa de exercício físico. Neste estudo realizamos uma análise de estudos experimentais de animais com epilepsia submetidos a programas de exercício físico. Em todos os estudos, o treinamento físico foi capaz de reduzir o número de crises espontâneas em ratos com epilepsia. A ocorrência de crises durante o exercício físico foi relativamente ausente na maioria dos estudos. Nenhuma morte foi encontrada em animais com epilepsia durante 1680 h de exercício físico. Baseados nestes resultados parece aceitável encorajar as pessoas com epilepsia a tratamentos não farmacológicos e medidas preventivas como o exercício físico.

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“…De manera excepcional se ha documentado que pocas personas con la enfermedad desarrollan crisis provocadas por la actividad física (84)(85)(86)(87)(88)(89)(90). Arida y colaboradores (91) relacionan la aparición de estos eventos con alteraciones homeostáticas asociadas a fatiga, estrés, hipoxia, hipoglicemia, hiperhidratación, hiponatremia o hipertermia.…”

Section: ¿Puede La Actividad Física Inducir Crisis Epilépticas?unclassified

Epilepsia y actividad física: conceptos desde la perspectiva de las ciencias básicas

Carrizosa-Moog

2017

iatreia

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Recibido: marzo 18 de 2016 Aceptado: octubre 12 de 2016Cómo citar: Carrizosa-Moog J. Epilepsia y actividad física: conceptos desde la perspectiva de las ciencias básicas. Iatreia. 2017 Jul-Sept;30(3): 287-296. DOI 10.17533/udea.iatreia.v30n3a04. RESUMENLa Organización Mundial de la Salud considera que la epilepsia es una prioridad de salud pública. A las personas afectadas se les restringe con frecuencia su participación en actividades físicas y deportivas, pero los estudios clínicos han demostrado un efecto benéfico de la actividad física sobre el control de las crisis epilépticas. Se describen los hallazgos desde la perspectiva de las ciencias básicas que demuestran los mecanismos reguladores del efecto del ejercicio sobre la epileptogénesis, el control de la enfermedad y de su comorbilidad psiquiátrica. Tanto las investigaciones clínicas como las básicas indican que se debería considerar la actividad física como una estrategia terapéutica complementaria en las personas con epilepsia, la cual está disponible en todas partes del mundo y a un muy bajo costo. PALABRAS CLAVEDeporte; Epilepsia; Ejercicio; Investigación Básica SUMMARY Epilepsy and physical activity: concepts from the perspective of basic sciences According to the World Health Organization, epilepsy is a public health priority. Persons with this disease are frequently restricted from participating in physical activities and sports. Clinical studies have shown the beneficial effects of exercise on seizure control. Results from basic research demonstrating the mechanisms of physical activity on epileptogenesis, seizure

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Seizures induced by exercise

Cited by 64 publications

References 0 publications

Does Physical Exercise Influence the Occurrence of Epileptiform EEG Discharges in Children?

Does Physical Exercise Influence the Occurrence of Epileptiform EEG Discharges in Children?

Physical exercise in rats with epilepsy is protective against seizures: evidence of animal studies

Epilepsia y actividad física: conceptos desde la perspectiva de las ciencias básicas

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