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Journal ArticleDOI

Effect of successful epilepsy surgery on subjective and objective sleep parameters – a prospective study

TL;DR: Epilepsy surgery improves subjective sleep parameters in patients with medically refractory epilepsy during the early post operative period and may improve objective (PSG documented) sleep quality, sleep architecture and obstructive sleep apnea with resultant reduction in excessive daytime sleepiness.
About: This article is published in Sleep Medicine.The article was published on 2013-04-01. It has received 39 citations till now. The article focuses on the topics: Polysomnography & Excessive daytime sleepiness.
Citations
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Book ChapterDOI
01 Jan 2019
TL;DR: By appropriate recognition, evaluation, and treatment of both sleep disorders and epilepsy in children with NDD, it is possible to limit the impact of these comorbidities on daytime functioning for both the child and the family.
Abstract: Sleep and epilepsy are closely related as they share the same neurobiological cellular mechanisms and the same anatomical circuits. There is a bidirectional relationship between sleep and epilepsy. Seizures and interictal epileptiform discharges can adversely affect sleep organization, and, conversely, sleep deprivation and sleep disorders directly influence the clinical course for children with epilepsy. Epilepsy is common in children, with an estimated lifetime prevalence of 1%. It is essential for clinicians caring for children with NDD to be aware of the interrelationship of sleep and epilepsy. By appropriate recognition, evaluation, and treatment of both sleep disorders and epilepsy in children with NDD, it is possible to limit the impact of these comorbidities on daytime functioning for both the child and the family.

1 citations

16 Dec 2017
TL;DR: The results of the surgical approach by which the patient’s problems completely resolved, and the patient is seizure-free and does not need any antiepileptic drugs are reported.
Abstract: It is estimated that one-third of the people with refractory epilepsy suffer from obstructive sleep apnea (OSA). In a patient presenting with OSA symptoms and epilepsy, removing a portion of the soft palate (uvulopalatoplasty) can be considered the treatment of choice for eliminating the OSA and decreasing the seizures. Here, we report the results of our surgical approach by which the patient's problems completely resolved, and we observed no symptoms of OSA or epilepsy after the surgery. After 10 years of follow-up, the patient is seizure-free and does not need any antiepileptic drugs.

1 citations

Journal ArticleDOI
TL;DR: In this article , the effect of surgical treatment of temporal lobe epilepsy due to hippocampal sclerosis (TLE-HS) on sleep profile and architecture by subjective and objective evaluation of sleep in basal condition after one month and one year was evaluated.
Book ChapterDOI
01 Jan 2023
TL;DR: Some of the best accepted and also most intriguing observations on the complex bidirectional relationships between sleep and epilepsy have been discussed in this paper , including: (1) sleep related epilepsies; (2) differentiating sleep-related hypermotor epilepsy (SHE) from NREM disorders of arousal (DoA); (3) sleep organization (micro and macro sleep architecture) in epilepsy; (4) sleep/wake complaints and sleep disorders in people with epilepsy, (5) impact of sleep apnea treatment on epilepsy;(6) emerging relationships between epilepsy and circadian biology; and (7) relationships between sleeping and sudden unexplained death in epilepsy (SUDEP).
Abstract: More than a century of clinical research and practice has shown crucial relationships between epilepsy and sleep. Here, we discuss some of the best accepted and also most intriguing observations on the complex bidirectional relationships between sleep and epilepsy. These include: (1) sleep-related epilepsies; (2) differentiating sleep-related hypermotor epilepsy (SHE) from NREM disorders of arousal (DoA); (3) sleep organization (micro and macro sleep architecture) in epilepsy; (4) sleep/wake complaints and sleep disorders in people with epilepsy; (5) impact of sleep apnea treatment on epilepsy; (6) emerging relationships between epilepsy and circadian biology; and (7) relationships between sleep and sudden unexplained death in epilepsy (SUDEP). Recognizing the relationships between epilepsy and sleep are important for patient and caregiver education and counseling, and optimizing both epilepsy and sleep outcomes.
Journal ArticleDOI
TL;DR: It is suggested that there is widespread disruption of both self-reported and polysomnography-derived sleep parameters among persons with refractory epilepsy, and there is suggestion that this improves with successful epilepsy surgery.
Abstract: I read with great interest the article by Bensken et al.1 Although the burden of epilepsy is all-pervasive, an important facet is missing in nearly all outcome-based data—the effect of epilepsy on sleep parameters. Seizure outcomes infrequently assess subjective and objective sleep measures. The limited data that exist suggest that there is widespread disruption of both self-reported and polysomnography-derived sleep parameters among persons with refractory epilepsy,2 and there is suggestion that this improves with successful epilepsy surgery.3
References
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Journal ArticleDOI
Murray W. Johns1
01 Nov 1991-Sleep
TL;DR: The development and use of a new scale, the Epworth sleepiness scale (ESS), is described, which is a simple, self-administered questionnaire which is shown to provide a measurement of the subject's general level of daytime sleepiness.
Abstract: The development and use of a new scale, the Epworth sleepiness scale (ESS), is described. This is a simple, self-administered questionnaire which is shown to provide a measurement of the subject's general level of daytime sleepiness. One hundred and eighty adults answered the ESS, including 30 normal men and women as controls and 150 patients with a range of sleep disorders. They rated the chances that they would doze off or fall asleep when in eight different situations commonly encountered in daily life. Total ESS scores significantly distinguished normal subjects from patients in various diagnostic groups including obstructive sleep apnea syndrome, narcolepsy and idiopathic hypersomnia. ESS scores were significantly correlated with sleep latency measured during the multiple sleep latency test and during overnight polysomnography. In patients with obstructive sleep apnea syndrome ESS scores were significantly correlated with the respiratory disturbance index and the minimum SaO2 recorded overnight. ESS scores of patients who simply snored did not differ from controls.

13,788 citations

01 Jan 1993

2,670 citations

Book
01 Jan 1993
TL;DR: This work aims toward a surgical cure for epilepsy - the work of Wilder Penfield and his school at the Montreal Neurologic Institute, William Feindel.
Abstract: Prologue: toward a surgical cure for epilepsy - the work of Wilder Penfield and his school at the Montreal Neurologic Institute, William Feindel. Part 1 Identification of surgical candidates. Part 2 Non-invasive pre-operative evaluation. Part 3 Invasive pre-operative evaluation. Part 4 Surgical treatment. Part 5 Post-operative follow-up. Epilogue: general impressions of the past-present and future, Herbert H. Jasper. Appendices: historical perspectives, Jerome Engel Jr pre-surgical evaluation protocols guidelines for multi-centre research, B. Vickrey et al basic research in the setting of an epilepsy surgery centre, P. Schwartzkroin.

1,767 citations

Journal ArticleDOI
TL;DR: The contributors illustrate important new approaches to the assessment of human cognition in individuals with CNS disease that nonspecific behavioral descriptors such as ”word-finding difficulty” will soon be replaced by more meaningful characterizations that are theoretically motivated and therapeutically significant.
Abstract: ic (speech sound) encoding of the word in the context of an utterance. The first four chapters of the book investigate the ability to transform a message we are thinking to the word-forms required for i t s expression. Taken together, th i s section describes the process of moving from a concept to the selection of a lexical item, and provides a computer model for lemma retrieval that involves mental activation spreading from a triggered concept to the word-form stage. It appears that lemma retrieval obeys both semantic (meaning) and grammatical (structural) constraints available from the word‘s context, and that failures in lexical selection in pathologic states may be related to semantic or grammatical category effects. The next three chapters of the book are concerned with the phonetic realization of a word-form. Words themselves have a characteristic structure, and it appears that the structure of a word plays an important role in eliciting a speech error. Methodologic issues have restricted the nature of speech error analyses in normal subjects, and a critical examination of the aphasic speech error literature has additionally revealed that few investigators have examined error consistency in individual aphasics. Inconsistent speech error patterns in aphasia are unlikely to be due to the actual loss of phonologic information, but instead to the compromised transmission of information between processing subsystems. This book will be of most immediate interest to aphasiologists, but its significance for a much larger audience should not be lost. The contributors illustrate important new approaches to the assessment of human cognition in individuals with CNS disease. It is through the efforts of researchers such as these that nonspecific behavioral descriptors such as ”word-finding difficulty” will soon be replaced by more meaningful characterizations that are theoretically motivated and therapeutically significant.

364 citations

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Epilepsy surgery improves subjective sleep parameters in patients with medically refractory epilepsy during the early post operative period.