학술논문

The Reciprocal Relationship between Sleep and Epilepsy
Document Type
article
Source
Journal of Personalized Medicine, Vol 14, Iss 1, p 118 (2024)
Subject
sleep
epilepsy
anti-seizure medications
obstructive sleep apnea
parasomnia
nocturnal lobe epilepsy
Medicine
Language
English
ISSN
2075-4426
Abstract
The relationship between sleep and epilepsy is bidirectional. Certain epilepsy syndromes predominantly or exclusively manifest during sleep, with seizures frequently originating from non-rapid eye movement (NREM) sleep. Interictal epileptiform discharges observed on electroencephalograms are most likely to be activated during the deep NREM sleep stage known as N3. Conversely, epileptiform discharges, anti-seizure medications (ASMs), as well as other anti-seizure therapies can exert detrimental effects on sleep architecture. Moreover, the co-occurrence of sleep disorders has the potential to exacerbate seizure control. Understating the relationship between sleep and epilepsy is crucial for healthcare providers. Addressing and managing sleep-related problems in individuals with epilepsy can potentially contribute to improved seizure control and overall well-being. At the same time, improving seizure control can improve sleep quality and quantity, thus further improving the health of individuals with epilepsy.