Epilepsy and Sleep: Physiological and Clinical Relationships
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Table of contents
- Copyright Pageiv
- Contentsv
- Contributorsxv
- Prefacexvii
- Chapter 1. Relationship of Epilepsy and Sleep: Overview1
- Introduction2
- Effect of Sleep on Epilepsy2
- Effect of Epilepsy on Sleep12
- Effect of Antiepileptic Drugs on Sleep14
- Use of Sleep and Sleep Deprivation in the Evaluation of Epilepsy15
- References15
- Chapter 2. Electrophysiology of Sleep19
- Introduction19
- Oscillatory Nature of the Electroencephalogram20
- Brain Structures Involved in Sleep Oscillations21
- Sleep Oscillations23
- Interactions between Sleep Oscillations in Intact Brains32
- How Do Sleep Oscillations Develop into Spike–Wave Seizures?35
- References37
- Chapter 3. Physiology Underlying Relationship of Epilepsy and Sleep43
- Introduction43
- Methods and Results44
- Discussion51
- Conclusions58
- References59
- Chapter 4. Sleep Deprivation and Epilepsy63
- Introduction63
- Effect of Sleep on Epileptiform Discharges64
- Activating Effect of Sleep Deprivation on Epileptiform Discharges on the Electroencephalogram67
- Effect of Sleep Deprivation on Seizures70
- Effect of Seizures on Nocturnal Sleep and Daytime Function71
- Experimental Data72
- Summary72
- References72
- Chapter 5. Generalized Epilepsy and Sleep75
- Introduction75
- Relations of Epileptic Seizures to Sleep–Wake Cycle76
- Sleep Pattern of Patients with Generalized Epilepsy77
- Relation of Epileptiform Discharges to the Sleep–Wake Cycle and Sleep Stages in Generalized Epilep78
- Sleep Deprivation79
- Effects of Antiepileptic Drugs on Sleep79
- Summary81
- References81
- Chapter 6. Focal Epilepsy and Sleep85
- Introduction85
- Video Electroencephalography Polysomnography86
- Interictal Spiking during Sleep87
- Modification of Sleep Architecture in Epilepsy90
- Nocturnal Seizures and Epilepsy91
- Effect of Antiepileptic Drugs on Sleep96
- Conclusions97
- References98
- Chapter 7. Epilepsy in the Neonate and Infant and Sleep101
- Introduction102
- Unique Aspects of the Ultradian Sleep Rhythm of the Fetus and Neonate103
- Sleep Reorganization during Infancy107
- Epileptic Syndromes during Neonatal/Infancy Periods108
- Summary118
- References118
- Chapter 8. Cyclic Alternating Pattern and Sleep121
- Epilepsy and Vigilance States122
- Sleep Propensity and Body Temperature Rhythms123
- Sleep Intensity and Slow-Wave Sleep124
- Nonrapid Eye Movement/Rapid Eye Movement Sleep Cycle125
- Dynamics of Thalamic Neurons during Sleep126
- Low-Frequency ( <1 Hz) Oscillations in the Human Sleep Electroencephalogram127
- Cyclic Alternating Pattern as a Marker of Sleep Instability128
- Scoring of Cyclic Alternating Pattern Parameters129
- Effects of Cyclic Alternating Pattern on Epileptic Events132
- Arousal Mechanisms and Location of Interictal Foci139
- Modulatory Effects of Phase A Subtypes139
- Cyclic Alternating Pattern and Nocturnal Motor Seizures141
- Neurophysiological Bases of Electroencephalographic Synchrony144
- Comprehensive Overview145
- Conclusions148
- References149
- Chapter 9. Electrical Status Epilepticus of Sleep155
- Introduction156
- Clinical and Neurophysiological Features157
- Differential Diagnosis164
- Treatment166
- Conclusions167
- References168
- Chapter 10. Acquired Epileptic Aphasia173
- Introduction174
- Definition174
- Epidemiology175
- Clinical Features175
- Current Problems184
- References186
- Chapter 11. Sleep Disorders in Epilepsy191
- Introduction191
- Primary Sleep Disorders in Patients with Epilepsy192
- Sleep Complaints and Sleep Hygiene194
- Effects of Seizures on Sleep and Vigilance195
- Antiepileptic Drug Effects on Sleep and Vigilance196
- Predictors of Sleepiness in Epilepsy198
- References199
- Chapter 12. Non-Rapid Eye Movement Parasomnias203
- Introduction204
- Arousal Disorders205
- Sleep–Wake Transition Disorders210
- Other Parasomnias213
- References217
- Chapter 13. Rapid Eye Movement Sleep Behavior Disorder221
- Introduction222
- Animal Model of Rapid Eye Movement Sleep Behavior Disorder: Paradox Lost222
- Clinical Features of Rapid Eye Movement Sleep Behavior Disorder225
- Rapid Eye Movement Sleep Behavior Disorder: Diagnostic Methods229
- Minimum Diagnostic Criteria of Rapid Eye Movement Sleep Behavior Disorder230
- Treatment of Rapid Eye Movement Sleep Behavior Disorder230
- Differential Diagnosis of Rapid Eye Movement Sleep Behavior Disorder231
- Associated Findings in Rapid Eye Movement Sleep Behavior Disorder231
- Conclusion237
- References237
- Chapter 14. Nocturnal Paroxysmal Dystonia and Frontal Lobe Epilepsy241
- Nocturnal Paroxysmal Motor Phenomena241
- Nocturnal Frontal Lobe Epilepsy244
- Autosomal Dominant Frontal Lobe Epilepsy245
- Summary246
- References247
- Chapter 15. Cataplexy251
- Introduction251
- Clinical Features253
- Pathophysiology of Cataplexy256
- Pharmacological Manipulations in Cataplexy257
- Conclusion260
- References260
- Chapter 16. Video Electroencephalography and Polysomnography263
- Introduction264
- Epilepsy264
- Parasomnia266
- Psychogenic Seizures267
- Video Electroencephalography–Polysomnography267
- Technical Aspects269
- Case Examples272
- Summary283
- References283
- Chapter 17. Postictal State285
- Introduction286
- Postictal Delirium/Psychosis286
- Postictal Lethargy/Confusion287
- Postictal Sleep288
- Postictal Coma/Encephalopathy290
- References291
- Index293
It is well recognized that there is an intimate and reciprocal interaction between epilepsy and sleep. The book, Epilepsy and Sleep is a ground-breaking, comprehensive source for exploring this correlation and is especially timely because of the considerable growth in the understanding of the physiology underlying both sleep and epilepsy. An insightful reference, it presents many of the complex physiologic mechanisms underlying epilepsy--sleep interaction and highlights sleeping disorder symptoms that may be related to epilepsy.
The annual cost of treating epilepsy in the United States is an estimated $12.5 billion, according to a report issued January 2000 by The Epilepsy Foundation. The Foundation also reports that more than 180,000 Americans develop epilepsy each year. However, thousands more cases may be misdiagnosed as sleeping disorders, causing these figures to jump significantly. This correlation and diagnosis can help determine the correct type of medication to administer to regulate the symptoms, in turn saving hundreds of hours of lost time at work and millions of dollars.
Key Features
* Provides the first comprehensive source of information available on the correlation between epilepsy and sleep
* Outlines sleeping disorder symptoms which may in fact be caused by epilepsy
* Well illustrated, easy-to-read text
* An essential text for epileptologists, psychiatrists, physicians, and sleep disorder therapists
* Written by internationally recognized experts in the field
The annual cost of treating epilepsy in the United States is an estimated $12.5 billion, according to a report issued January 2000 by The Epilepsy Foundation. The Foundation also reports that more than 180,000 Americans develop epilepsy each year. However, thousands more cases may be misdiagnosed as sleeping disorders, causing these figures to jump significantly. This correlation and diagnosis can help determine the correct type of medication to administer to regulate the symptoms, in turn saving hundreds of hours of lost time at work and millions of dollars.
Key Features
* Provides the first comprehensive source of information available on the correlation between epilepsy and sleep
* Outlines sleeping disorder symptoms which may in fact be caused by epilepsy
* Well illustrated, easy-to-read text
* An essential text for epileptologists, psychiatrists, physicians, and sleep disorder therapists
* Written by internationally recognized experts in the field