Epilepsy and the Sleep-Waking Cycle

Česká verzia

Authors: MUDr. Evžen Nešpor
Authors place of work: Neurologická klinika VFN a 1. LF UK, Praha
Published in the journal: Cesk Slov Neurol N 2007; 70/103(2): 129-135
Category: Review Article

Summary

The research has dealt with studying the epilepsy–sleep interaction. This is applied at the level of circadian cycle of sleep and waking, then at the level of sleep macrostructure and, finally, at the level of sleep microstructure. At the sleep microstructure level, the relation of epileptic ictal as well as interictal phenomena to the cyclic alternating pattern (CAP) is significant. Physiological meaning of CAP consists in cyclic alternations of excitation and inhibition of NREM sleep. Its morphology differs according to the depth of NREM sleep. CAP is not manifested in REM sleep.

In a special part there is described the interaction of sleep and individual types of epilepsy. Age-related sleep epileptic syndromes are mentioned separately. The relation of juvenile myoclonic epilepsy and allied syndromes to sleep deprivation is especially significant in a group of generalized epilepsies. All the types of frontal seizures, obligatorily autosomal dominant nocturnal frontal epilepsies can have important and frequent bond to sleep.

Key words:
epilepsy, sleep, cyclic alternating pattern, autosomal dominant nocturnal frontal epilepsy.

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