Epilepsy and sleep disturbance

Epilepsy and sleep disturbance
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DOI:
10.1016/j.yebeh.2003.07.005
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发表时间:
2003-10-01
影响因子:
2.6
通讯作者:
Bazil, CW
Bazil, CW
中科院分区:
医学3区
文献类型:
--
作者:
Bazil, CW

文献摘要

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睡眠障碍在癫痫中很常见,癫痫睡眠障碍的性质多样,病因复杂。有证据表明,患有癫痫症和癫痫发作以及某些抗癫痫药物与严重的睡眠中断有关。癫痫发作会对睡眠结构产生深远的影响,其持续时间比发作后时期还要长。癫痫患者白天持续嗜睡并不总是由某些抗癫痫药物的副作用引起,并且可能与睡眠碎片化独立相关。癫痫患者的严重睡眠中断与生活质量受损和癫痫发作控制受损有关。睡眠医学的各个方面对于癫痫的治疗都很重要,并且因癫痫发作的发生、癫痫发作的部位以及 AED 的有益和有害影响而变得混乱。应主动评估睡眠,并将睡眠障碍作为癫痫患者整体护理的一部分进行治疗。 (C) 2003 Elsevier Inc. 保留所有权利。
Sleep disturbance is common in epilepsy, the nature of sleep disturbances in epilepsy is diverse, and the etiologies are complex. Evidence suggests that having epilepsy and the occurrence of seizures, as well as some AEDs, are associated with significant sleep disruption. The occurrence of seizures can have profound effects on sleep architecture lasting much longer than the postictal period. Persistent daytime drowsiness in patients with epilepsy is not always due to the side effects of some AEDs and may be independently linked with sleep fragmentation. Significant sleep disruption in epilepsy has been associated with impaired quality of life and impaired seizure control. All aspects of sleep medicine are important in the management of epilepsy and are confounded by the occurrence of seizures, the location of seizures, and the beneficial and detrimental effects of AEDs. Sleep should be proactively evaluated, and sleep disturbances should be treated as part of the total care of patients with epilepsy. (C) 2003 Elsevier Inc. All rights reserved.