Epilepsy and Sleep

Physiological and Clinical Relationships

By: Dudley S. Dinner (Editor), Hans O. Luders (Editor)

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Hardcover | 18 December 2000

At a Glance

Hardcover
300 Pages

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22.86 x 15.24 x 1.91

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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.

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

Industry Reviews

"This is perhaps one of the most comprehensive and systematic reviews ever written on the complex relationship between epileptic phenomena and sleep.The editors have succeeded in gathering together, some of the most renowned scientists worldwide in the fields of sleep disorders and epilepsy in order to have a multi-authored first edition...The book is very easy to read...this is a standard textbook providing not only elementary, but advanced knowledge too, in the fields of epilepsy and sleep. Even the basic neuroscientists and the experienced sleep neurophysiologist will find it a useful resource in many instances." -European Journal of Paediatric Neurology, Dimitrios I Zafeiriou, 1st Department of Pediatrics, Aristotle University of Thessaloniki, Greece (September 2004) "This book covers a difficult area in detail. There is much useful information and the writing is quite dense and terse. This is an excellent reference that addresses the issues rarely approached elsewhere... Experts in the field will find it a valuable reference source." -DOODY'S PUBLISHING REVIEWS (February 2002)

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Non-Fiction Family & Health Coping with / Advice about Personal, Social & Health Topics Coping with / Advice about Illness & Specific Health Conditions Medicine Other Branches of Medicine Therapy & Therapeutics Sleep Disorders & Therapy Clinical & Internal Medicine Neurology & Clinical Neurophysiology Science Biology, Life Sciences

Life Sciences in General Neurosciences Psychology States of Consciousness Sleep & Dreams Psychiatry

Contributors	p. XV
Preface	p. XVII
Relationship of Epilepsy and Sleep: Overview
Introduction	p. 2
Effect of Sleep on Epilepsy	p. 2
Effect of Sleep on Generalized Tonic--Clonic Seizures	p. 3
Primary Generalized Tonic--Clonic Epilepsy	p. 4
Juvenile Myoclonic Epilepsy	p. 4
Absence Epilepsy	p. 4
Lennox--Gastaut Syndrome	p. 6
West Syndrome	p. 7
Temporal Lobe Epilepsy	p. 8
Frontal Lobe Epilepsy	p. 10
Benign Focal Epilepsy of Childhood	p. 11
Autosomal Dominant Nocturnal Frontal Lobe Epilepsy	p. 11
Electrical Status Epilepticus of Sleep	p. 12
Landau--Kleffner Syndrome	p. 12
Effect of Epilepsy on Sleep	p. 12
Effect of Epilepsy	p. 12
Effect of Seizures	p. 13
Microarchitecture of Sleep and Epilepsy	p. 13
Effect of Antiepileptic Drugs on Sleep	p. 14
Use of Sleep and Sleep Deprivation in the Evaluation of Epilepsy	p. 15
References	p. 15
Electrophysiology of Sleep
Introduction	p. 19
Oscillatory Nature of the Electroencephalogram	p. 20
Brain Structures Involved in Sleep Oscillations	p. 21
Sleep Oscillations	p. 23
Spindles	p. 23
Delta Oscillations	p. 25
Slow Cortical Oscillations and Delta Waves	p. 28
Interactions between Sleep Oscillations in Intact Brains	p. 32
How Do Sleep Oscillations Develop into Spike--Wave Seizures?	p. 35
References	p. 37
Physiology Underlying Relationship of Epilepsy and Sleep
Introduction	p. 43
Methods and Results	p. 44
Penicillin Epilepsy	p. 44
Amygdala Kindling	p. 45
Discussion	p. 51
Primary Generalized Epilepsy	p. 57
Localization-Related Epilepsies	p. 58
Conclusions	p. 58
References	p. 59
Sleep Deprivation and Epilepsy
Introduction	p. 63
Effect of Sleep on Epileptiform Discharges	p. 64
Activating Effect of Sleep Deprivation on Epileptiform Discharges on the Electroencephalogram	p. 67
Effect of Sleep Deprivation on Seizures	p. 70
Effect of Seizures on Nocturnal Sleep and Daytime Function	p. 71
Experimental Data	p. 72
Summary	p. 72
References	p. 72
Generalized Epilepsy and Sleep
Introduction	p. 75
Relations of Epileptic Seizures to Sleep--Wake Cycle	p. 76
Sleep Pattern of Patients with Generalized Epilepsy	p. 77
Relation of Epileptiform Discharges to the Sleep--Wake Cycle and Sleep Stages in Generalized Epilepsy	p. 78
Sleep Deprivation	p. 79
Effects of Antiepileptic Drugs on Sleep	p. 79
Summary	p. 81
References	p. 81
Focal Epilepsy and Sleep
Introduction	p. 85
Video Electroencephalography Polysomnography	p. 86
Interictal Spiking during Sleep	p. 87
Modification of Sleep Architecture in Epilepsy	p. 90
Nocturnal Seizures and Epilepsy	p. 91
Effect of Antiepileptic Drugs on Sleep	p. 96
Conclusions	p. 97
References	p. 98
Epilepsy in the Neonate and Infant and Sleep
Introduction	p. 102
Unique Aspects of the Ultradian Sleep Rhythm of the Fetus and Neonate	p. 103
Sleep Reorganization during Infancy	p. 107
Epileptic Syndromes during Neonatal/Infancy Periods	p. 108
Neonatal Seizures	p. 108
Benign Familial Neonatal (Infantile) Convulsions	p. 109
Benign Epilepsies of Infancy	p. 109
Early Infantile Epileptic Encephalopathy	p. 112
Infantile Spasms or West Syndrome	p. 112
Severe Epileptic Encephalopathies	p. 114
Nonepileptic Behaviors during Sleep	p. 114
Summary	p. 118
References	p. 118
Cyclic Alternating Pattern and Sleep
Epilepsy and Vigilance States	p. 122
Sleep Propensity and Body Temperature Rhythms	p. 123
Sleep Intensity and Slow-Wave Sleep	p. 124
Nonrapid Eye Movement/Rapid Eye Movement Sleep Cycle	p. 125
Dynamics of Thalamic Neurons during Sleep	p. 126
Low-Frequency ([1 Hz) Oscillations in the Human Sleep Electroencephalogram	p. 127
Cyclic Alternating Pattern as a Marker of Sleep Instability	p. 128
Scoring of Cyclic Alternating Pattern Parameters	p. 129
Cyclic Alternating Pattern and Noncyclic Alternating Pattern	p. 129
Cyclic Alternating Pattern Rate	p. 131
Effects of Cyclic Alternating Pattern on Epileptic Events	p. 132
Primary Generalized Epilepsy	p. 133
Lesional Epilepsy with Frontotemporal Focus	p. 136
Benign Epilepsy with Rolandic Spikes	p. 136
Arousal Mechanisms and Location of Interictal Foci	p. 139
Modulatory Effects of Phase A Subtypes	p. 139
Cyclic Alternating Pattern and Nocturnal Motor Seizures	p. 141
Neurophysiological Bases of Electroencephalographic Synchrony	p. 144
Comprehensive Overview	p. 145
Circadian	p. 145
Homeostatic	p. 146
Ultradian	p. 146
Microstructural	p. 147
Conclusions	p. 148
References	p. 149
Electrical Status Epilepticus of Sleep
Introduction	p. 156
Clinical and Neurophysiological Features	p. 157
Clinical Findings	p. 157
Neuropsychological Deterioration	p. 159
Motor Impairment	p. 159
Electroencephalographic Findings	p. 160
Pathophysiology	p. 162
Differential Diagnosis	p. 164
Landau--Kleffner Syndrome	p. 164
Lennox--Gastaut Syndrome	p. 164
Benign Epilepsy of Childhood with Centrotemporal Spikes	p. 164
Atypical Benign Partial Epilepsy	p. 165
Long-Term Evolution and Prognosis	p. 165
Treatment	p. 166
Conclusions	p. 167
References	p. 168
Acquired Epileptic Aphasia
Introduction	p. 174
Definition	p. 174
Epidemiology	p. 175
Clinical Features	p. 175
Neurophysiological Characteristics	p. 177
Pathophysiology	p. 182
Evolution and Prognosis	p. 183
Treatment	p. 183
Current Problems	p. 184
References	p. 186
Sleep Disorders in Epilepsy
Introduction	p. 191
Primary Sleep Disorders in Patients with Epilepsy	p. 192
Sleep Complaints and Sleep Hygiene	p. 194
Effects of Seizures on Sleep and Vigilance	p. 195
Antiepileptic Drug Effects on Sleep and Vigilance	p. 196
Predictors of Sleepiness in Epilepsy	p. 198
References	p. 199
Non-Rapid Eye Movement Parasomnias
Introduction	p. 204
Arousal Disorders	p. 205
Sleepwalking	p. 206
Sleep Terrors	p. 206
Confusional Arousals	p. 207
Biological Basis	p. 207
Differential Diagnosis	p. 208
Diagnostic Evaluation	p. 208
Management	p. 210
Sleep-Wake Transition Disorders	p. 210
Sleep Starts	p. 210
Sleep Talking	p. 210
Rhythmic Movement Disorder	p. 211
Nocturnal Leg Cramps	p. 212
Other Parasomnias	p. 213
Sleep Enuresis	p. 213
Nocturnal Dissociative Disorder	p. 214
Sleep Bruxism	p. 215
Sudden Unexplained Nocturnal Death	p. 216
References	p. 217
Rapid Eye Movement Sleep Behavior Disorder
Introduction	p. 222
Animal Model of Rapid Eye Movement Sleep Behavior Disorder: Paradox Lost	p. 222
Clinical Features of Rapid Eye Movement Sleep Behavior Disorder	p. 225
Rapid Eye Movement Sleep Behavior Disorder: Diagnostic Methods	p. 229
Minimum Diagnostic Criteria of Rapid Eye Movement Sleep Behavior Disorder	p. 230
Treatment of Rapid Eye Movement Sleep Behavior Disorder	p. 230
Differential Diagnosis of Rapid Eye Movement Sleep Behavior Disorder	p. 231
Associated Findings in Rapid Eye Movement Sleep Behavior Disorder	p. 231
Association with Parkinsonism and Other Extrapyramidal Disorders	p. 231
Association with Narcolepsy	p. 235
Parasomnia Overlap Disorder	p. 236
Association of Rapid Eye Movement Sleep Behavior Disorder with Specific Human Leukocyte Antigen Haplotypes	p. 236
Conclusion	p. 237
References	p. 237
Nocturnal Paroxysmal Dystonia and Frontal Lobe Epilepsy
Nocturnal Paroxysmal Motor Phenomena	p. 241
Episodic Nocturnal Wanderings	p. 242
Diurnal Paroxysmal Dyskinesias Responsive to Anticonvulsants	p. 242
Hypogenic Paroxysmal Dystonia or Epilepsy?	p. 243
Other Sleep-Related Paroxysmal Events	p. 243
Nocturnal Frontal Lobe Epilepsy	p. 244
Autosomal Dominant Frontal Lobe Epilepsy	p. 245
Summary	p. 246
References	p. 247
Cataplexy
Introduction	p. 251
Clinical Features	p. 253
Triggering Factors	p. 254
Distribution of the Muscle Weakness	p. 255
Abruptness of the Attack	p. 255
Reflexes during the Attack	p. 255
Associated Symptoms	p. 256
Pathophysiology of Cataplexy	p. 256
Pharmacological Manipulations in Cataplexy	p. 257
Conclusion	p. 260
References	p. 260
Video Electroencephalography Polysomnography
Introduction	p. 264
Epilepsy	p. 264
Benign Focal Epilepsy of Childhood	p. 264
Frontal Lobe Epilepsy	p. 265
Generalized Epilepsy	p. 265
Parasomnia	p. 266
Confusional Arousal	p. 266
Sleepwalking	p. 266
Sleep Terrors	p. 267
Rapid Eye Movement Behavior Disorder	p. 267
Psychogenic Seizures	p. 267
Video Electroencephalography--Polysomnography	p. 267
Technical Aspects	p. 269
Electroencephalography	p. 269
Electrooculography	p. 270
Electromyography	p. 270
Electrocardiography	p. 271
Respiration	p. 271
Case Examples	p. 272
	p. 272
	p. 275
	p. 279
Summary	p. 283
References	p. 283
Postictal State
Introduction	p. 286
Postictal Delirium/Psychosis	p. 286
Postictal Lethargy/Confusion	p. 287
Postictal Sleep	p. 288
Postictal Coma/Encephalopathy	p. 290
References	p. 291
Index	p. 293
Table of Contents provided by Syndetics. All Rights Reserved.

Epilepsy and Sleep

Physiological and Clinical Relationships

At a Glance

Hardcover

Industry Reviews

Shipping

How to return your order

Defective items

You Can Find This Book In

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