• Je něco špatně v tomto záznamu ?

Seizure likelihood varies with day-to-day variations in sleep duration in patients with refractory focal epilepsy: A longitudinal electroencephalography investigation

KL. Dell, DE. Payne, V. Kremen, MI. Maturana, V. Gerla, P. Nejedly, GA. Worrell, L. Lenka, F. Mivalt, RC. Boston, BH. Brinkmann, W. D'Souza, AN. Burkitt, DB. Grayden, L. Kuhlmann, DR. Freestone, MJ. Cook

. 2021 ; 37 (-) : 100934. [pub] 20210605

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21024604

Background: While the effects of prolonged sleep deprivation (≥24 h) on seizure occurrence has been thoroughly explored, little is known about the effects of day-to-day variations in the duration and quality of sleep on seizure probability. A better understanding of the interaction between sleep and seizures may help to improve seizure management. Methods: To explore how sleep and epileptic seizures are associated, we analysed continuous intracranial electroencephalography (EEG) recordings collected from 10 patients with refractory focal epilepsy undergoing ordinary life activities between 2010 and 2012 from three clinical centres (Austin Health, The Royal Melbourne Hospital, and St Vincent's Hospital of the Melbourne University Epilepsy Group). A total of 4340 days of sleep-wake data were analysed (average 434 days per patient). EEG data were sleep scored using a semi-automated machine learning approach into wake, stages one, two, and three non-rapid eye movement sleep, and rapid eye movement sleep categories. Findings: Seizure probability changes with day-to-day variations in sleep duration. Logistic regression models revealed that an increase in sleep duration, by 1·66 ± 0·52 h, lowered the odds of seizure by 27% in the following 48 h. Following a seizure, patients slept for longer durations and if a seizure occurred during sleep, then sleep quality was also reduced with increased time spent aroused from sleep and reduced rapid eye movement sleep. Interpretation: Our results suggest that day-to-day deviations from regular sleep duration correlates with changes in seizure probability. Sleeping longer, by 1·66 ± 0·52 h, may offer protective effects for patients with refractory focal epilepsy, reducing seizure risk. Furthermore, the occurrence of a seizure may disrupt sleep patterns by elongating sleep and, if the seizure occurs during sleep, reducing its quality.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21024604
003      
CZ-PrNML
005      
20211013133846.0
007      
ta
008      
211006s2021 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1016/j.eclinm.2021.100934 $2 doi
035    __
$a (PubMed)34386736
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Dell, Katrina L $u Department of Medicine, St. Vincent's Hospital, University of Melbourne, Level 4, 29 Regent Street, Fitzroy, Victoria 3065, Australia
245    10
$a Seizure likelihood varies with day-to-day variations in sleep duration in patients with refractory focal epilepsy: A longitudinal electroencephalography investigation / $c KL. Dell, DE. Payne, V. Kremen, MI. Maturana, V. Gerla, P. Nejedly, GA. Worrell, L. Lenka, F. Mivalt, RC. Boston, BH. Brinkmann, W. D'Souza, AN. Burkitt, DB. Grayden, L. Kuhlmann, DR. Freestone, MJ. Cook
520    9_
$a Background: While the effects of prolonged sleep deprivation (≥24 h) on seizure occurrence has been thoroughly explored, little is known about the effects of day-to-day variations in the duration and quality of sleep on seizure probability. A better understanding of the interaction between sleep and seizures may help to improve seizure management. Methods: To explore how sleep and epileptic seizures are associated, we analysed continuous intracranial electroencephalography (EEG) recordings collected from 10 patients with refractory focal epilepsy undergoing ordinary life activities between 2010 and 2012 from three clinical centres (Austin Health, The Royal Melbourne Hospital, and St Vincent's Hospital of the Melbourne University Epilepsy Group). A total of 4340 days of sleep-wake data were analysed (average 434 days per patient). EEG data were sleep scored using a semi-automated machine learning approach into wake, stages one, two, and three non-rapid eye movement sleep, and rapid eye movement sleep categories. Findings: Seizure probability changes with day-to-day variations in sleep duration. Logistic regression models revealed that an increase in sleep duration, by 1·66 ± 0·52 h, lowered the odds of seizure by 27% in the following 48 h. Following a seizure, patients slept for longer durations and if a seizure occurred during sleep, then sleep quality was also reduced with increased time spent aroused from sleep and reduced rapid eye movement sleep. Interpretation: Our results suggest that day-to-day deviations from regular sleep duration correlates with changes in seizure probability. Sleeping longer, by 1·66 ± 0·52 h, may offer protective effects for patients with refractory focal epilepsy, reducing seizure risk. Furthermore, the occurrence of a seizure may disrupt sleep patterns by elongating sleep and, if the seizure occurs during sleep, reducing its quality.
655    _2
$a časopisecké články $7 D016428
700    1_
$a Payne, Daniel E $u Department of Medicine, St. Vincent's Hospital, University of Melbourne, Level 4, 29 Regent Street, Fitzroy, Victoria 3065, Australia $u Department of Biomedical Engineering, University of Melbourne, Melbourne, Victoria, Australia
700    1_
$a Kremen, Vaclav $u Department of Neurology, Mayo Clinic, Rochester, United States $u Czech Institute of Informatics, Robotics, and Cybernetics, Czech Technical University in Prague, Prague, Czech Republic
700    1_
$a Maturana, Matias I $u Department of Medicine, St. Vincent's Hospital, University of Melbourne, Level 4, 29 Regent Street, Fitzroy, Victoria 3065, Australia $u Seer Medical, Melbourne, Victoria, Australia
700    1_
$a Gerla, Vaclav $u Czech Institute of Informatics, Robotics, and Cybernetics, Czech Technical University in Prague, Prague, Czech Republic
700    1_
$a Nejedly, Petr $u Department of Neurology, Mayo Clinic, Rochester, United States
700    1_
$a Worrell, Gregory A $u Department of Neurology, Mayo Clinic, Rochester, United States
700    1_
$a Lenka, Lhotska $u Czech Institute of Informatics, Robotics, and Cybernetics, Czech Technical University in Prague, Prague, Czech Republic
700    1_
$a Mivalt, Filip $u Department of Neurology, Mayo Clinic, Rochester, United States
700    1_
$a Boston, Raymond C $u Department of Medicine, St. Vincent's Hospital, University of Melbourne, Level 4, 29 Regent Street, Fitzroy, Victoria 3065, Australia $u Department of Clinical Studies - NBC, University of Pennsylvania, School of Veterinary Medicine, Kennett Square, PA, United States
700    1_
$a Brinkmann, Benjamin H $u Department of Neurology, Mayo Clinic, Rochester, United States
700    1_
$a D'Souza, Wendyl $u Department of Medicine, St. Vincent's Hospital, University of Melbourne, Level 4, 29 Regent Street, Fitzroy, Victoria 3065, Australia
700    1_
$a Burkitt, Anthony N $u Department of Biomedical Engineering, University of Melbourne, Melbourne, Victoria, Australia
700    1_
$a Grayden, David B $u Department of Biomedical Engineering, University of Melbourne, Melbourne, Victoria, Australia
700    1_
$a Kuhlmann, Levin $u Department of Medicine, St. Vincent's Hospital, University of Melbourne, Level 4, 29 Regent Street, Fitzroy, Victoria 3065, Australia $u Department of Data Science and AI, Faculty of Information and Technology, Monash University, Clayton, Victoria, Australia
700    1_
$a Freestone, Dean R $u Seer Medical, Melbourne, Victoria, Australia
700    1_
$a Cook, Mark J $u Department of Medicine, St. Vincent's Hospital, University of Melbourne, Level 4, 29 Regent Street, Fitzroy, Victoria 3065, Australia
773    0_
$w MED00200566 $t EClinicalMedicine $x 2589-5370 $g Roč. 37, č. - (2021), s. 100934
856    41
$u https://pubmed.ncbi.nlm.nih.gov/34386736 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20211006 $b ABA008
991    __
$a 20211013133843 $b ABA008
999    __
$a ind $b bmc $g 1708392 $s 1145101
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 37 $c - $d 100934 $e 20210605 $i 2589-5370 $m EClinicalMedicine $n EClinicalMedicine $x MED00200566
LZP    __
$a Pubmed-20211006

Najít záznam

Citační ukazatele

Možnosti archivace