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Titolo:
Reduction of rapid eye movement sleep by diurnal and nocturnal seizures intemporal lobe epilepsy
Autore:
Bazil, CW; Castro, LHM; Walczak, TS;
Indirizzi:
Columbia Presbyterian Med Ctr, Comprehens Epilepsy Ctr, Dept Neurol, Neurol Inst, New York, NY 10032 USA Columbia Presbyterian Med Ctr New York NY USA 10032 ew York, NY 10032 USA Hosp Clin, Sao Paulo, Brazil Hosp Clin Sao Paulo BrazilHosp Clin, Sao Paulo, Brazil Minnesota Comprehens Epilepsy Care, Minneapolis, MN USA Minnesota Comprehens Epilepsy Care Minneapolis MN USA inneapolis, MN USA
Titolo Testata:
ARCHIVES OF NEUROLOGY
fascicolo: 3, volume: 57, anno: 2000,
pagine: 363 - 368
SICI:
0003-9942(200003)57:3<363:ROREMS>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
MELATONIN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Bazil, CW Columbia Presbyterian Med Ctr, Comprehens Epilepsy Ctr, Dept Neurol, Neurol Inst, 710 W 168th St, New York, NY 10032 USA Columbia Presbyterian Med Ctr 710 W 168th St New York NY USA 10032
Citazione:
C.W. Bazil et al., "Reduction of rapid eye movement sleep by diurnal and nocturnal seizures intemporal lobe epilepsy", ARCH NEUROL, 57(3), 2000, pp. 363-368

Abstract

Background: Patients with brief, complex partial seizures frequently suffer from tiredness and decreased productivity that continue well beyond the postictal period. A possible explanation is that seizures, even when occurring during the day, disrupt sleep the following night. Objective: To determine the effect of temporal lobe complex partial seizures on sleep structure and daytime drowsiness. Methods: Patients with temporal lobe epilepsy were admitted for video-electroencephalography monitoring. All night polysomnography was recorded underthe following 3 conditions: seizure free, seizure during the day before the recording, and seizure during the recording. Percentage of time in each sleep stage, sleep efficiency, and time to first and second rapid eye movement (REM) period were compared for seizure vs control conditions. Daytime drowsiness was also measured, using a modified maintenance of wakefulness test and 2 subjective drowsiness tests. Results: Daytime seizures reduced REM from 18% +/- 1% to 12% +/- 2% (P = .003). Night seizures reduced REM from 16% +/- 1% to 6.8% +/- 2% (P<.001). Night seizures also significantly reduced stages 2 and 4 while increasing stage 1 sleep. Night seizures, but not day seizures, significantly reduced sleep efficiency, increased time to first REM period, and increased drowsiness as measured by the maintenance of wakefulness test. Conclusions: Temporal lobe complex partial seizures decrease REM sleep, particularly when occurring during sleep but also when occurring on the previous day. This may, in part, be responsible for the prolonged impairment of functioning that some patients report following seizures.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/10/20 alle ore 18:34:37