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Differential Aspects of Sleep Epilepsy

Published online by Cambridge University Press:  18 September 2015

G. Bryan Young ,
Warren T. Blume ,
George A. Wells ,
Wilson C. Mertens  and
Suzanne Eder
G. Bryan Young*
Affiliation:
Department of Clinical Neurological Sciences
Warren T. Blume
Affiliation:
Department of Clinical Neurological Sciences
George A. Wells
Affiliation:
Department of Statistics and Actuarial Sciences
Wilson C. Mertens
Affiliation:
Department of Clinical Neurological Sciences
Suzanne Eder
Affiliation:
University of Western Ontario and the Department of Clinical Neurological Sciences, the University of Saskatchewan
*
Department of Clinical Neurological Sciences, Victoria Hospital, London, Ontario, Canada N6A 4G5
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Abstract:

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A review of patients with epilepsy showed that 5.9% had seizures exclusively in sleep (ES) and 4.7% had seizures predominantly but not exclusively in sleep (PS). These groups were compared with a group (W) with seizures mainly in wakefulness. The following significant differences were obtained: 1) generalized convulsions predominated in the ES while partial seizures were more common among PS and W patients, 2) seizures occurred less frequently in the ES group, and 3) more W patients had EEGs with generalized epileptiform activity and positive family histories for epilepsy.

We suggest the lower frequency of seizures in the ES group and the declining prevalence of sleep epilepsy are due to: 1) the high proportion of generalized as opposed to partial seizures in sleep and 2) more effective control of generalized seizures compared to partial seizures by modern anti-epileptic drug management.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 12 , Issue 4 , November 1985 , pp. 317 - 320
Copyright
Copyright © Canadian Neurological Sciences Federation 1985

References

REFERENCES

Christian, W (1960) Bioelectrishe charakteristick lagesperiodisch gebundener verlaufsformen epileptischer erkrankungen. Dtsch? Nervenheilk 181: 413–444.Google Scholar
Commission on Classification and Terminology of the ILAE (1981) Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia 22: 489–501.CrossRefGoogle Scholar
D’Allesandro, R, Sintini, M, Pazzaglia, P, Lugaresi, E (1983) Pure sleep epilepsies: prognostic features. In: Nistico, G, Diperri, R, Meinardi, H (eds), Epilepsy: Update on Research and Therapy. New York. Allan R Liss, pp 235–239.Google Scholar
Daly, DD (1973) Orcadian cycles and seizures. In Brazier, MAB (ed). Epilepsy: Its Phenomena in Man, New York, Academic Press, pp 215–233.CrossRefGoogle Scholar
Gibberd, FB, Bateson, MC (1974) Sleep epilepsy: its pattern and prognosis. Br Med J 2: 403–405.CrossRefGoogle ScholarPubMed
Gowers, WR (1901) Epilepsy and Other Chronic Convulsive Disorders: Their Causes, Symptoms and Treatment, London: Churchill, pp 162–164.Google Scholar
Hopkins, H (1933) The time of appearance of epileptic seizures in relation to age, duration and type of the syndrome. 77: 153–162.Google Scholar
Janz, D (1953) “Nacht”-, oder “Schlaf” epilepsien als ausdruckeiner verlaufsform epileptischer Erkraukungen. Nervenarzt 24: 361–380.Google Scholar
Janz, D (1962) The grand mal epilepsies and the sleep-waking cycle. Epilepsia 3: 69–109.CrossRefGoogle Scholar
Janz, D (1974) Epilepsy and the sleep-waking cycle. In: Vol 15 The Epilepsies. Magnus, O, Lorentz de Maas, AM (eds), The Handbook of Clinical Neurology, Amsterdam, New York, North Holland Publishing Co, pp 457–490.Google Scholar
Kajtor, F (1961) Some anatomo-functional factors which may predispose to epileptic seizures occurring during sleep. Electroenceph clin Neurophysiol 13: 400–410.CrossRefGoogle Scholar
Kajtor, F (1962) The influence of sleep and the waking state on the epileptic activity of different cerebral structures. Epilepsia 3:274–280.CrossRefGoogle Scholar
Kellaway, P, Frost, JD, Crawley, JW (1980) Time modulation of spike and wave discharge in generalized epilepsy. Ann Neurol 8: 491–500.CrossRefGoogle ScholarPubMed
Langdon-Down, M, Brain, WR (1929) Time of day in relation to convulsions in epilepsy. Lancet 1: 1029–1032.CrossRefGoogle Scholar
Liske, E, Forster, (1964) Pseudoseizures: a problem in diagnosis and management of epileptic patients. Neurology (Minneap) 14: 41–49.CrossRefGoogle ScholarPubMed
Metrakos, JD, Metrakos, K(1969) Genetic studies in clinical epilepsy. In: Jasper, HH, Ward, AA, Pope, A (eds) Basic Mechanisms of the Epilepsies, Boston, Little Brown and Co. pp 700–708.Google Scholar
Patry, FL (1931) The relation of time of day, sleep and other factors in the incidence of epileptic seizures. Am J Psychiatry 87: 789–813.CrossRefGoogle Scholar
Rodin, EA (1968) The Prognosis of Patients with Epilepsy. Springfield, CC Thomas, pp 179–262.Google Scholar
Turnbull, DM, Rawlins, MD, Weightman, D, Chadwick, DW (1984) “Therapeutic’ serum concentration of phenytoin: the influence of seizure types. J Neurol Neurosurg Psychiatry 47: 231–234.CrossRefGoogle Scholar
White, P, Dyken, M, Grant, P, Jackson, L (1962) Electroencephalographic abnormalities during sleep as related to temporal distribution of seizures. Epilepsia 3: 67–174.CrossRefGoogle ScholarPubMed