수면과 간질 |
손영민 |
가톨릭의과대학 신경과학교실 |
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Sleep and Epilepsy |
Young Min Shon |
Department of Neurology St. Mary's Hospital, The Catholic University of Korea #62 Youido-dong, Yeongdeungpo-gu, Seoul, 150-713, Korea |
Corresponding Author:
Young Min Shon ,Tel: +82-2-3779-2077(1323, Fax: +82-2-783-9532, Email: sonogung@catholic.ar.kr |
Received: December 4, 2005 Accepted: December 13, 2005 Published online: December 31, 2005 |
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ABSTRACT |
The relationship of sleep and epilepsy demonstrates the complicated association of brain physiology and dysfunction. Sleep affects the distribution and frequency of epileptiform discharges in humans and influences the rate of kindling in animals. Epileptic discharges, on the other hand, alter sleep regulation and provoke sleep disruption. Individuals with epilepsy frequently complain of symptoms suggestive of disturbed sleep, such as excessive daytime sleepiness, insomnia, or with more subtle complaints such as an increase in seizure frequency. More commonly, these symptoms indicate an underlying sleep disorder rather than the effect of epilepsy or medication on sleep. Clinicians must be able to identify and differentiate between potential sleep disorders and sleep dysfunction related to epilepsy and direct therapy to improve the patient’s symptoms. The reciprocal relationship of sleep and epilepsy and the management of sleep complaints in the patient with epilepsy will be reviewed.
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Keywords:
Sleep | Epilepsy |
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