Gabapentin increases slow-wave sleep in normal adults.

Abstract:

PURPOSE:The older antiepileptic drugs (AEDs) have a variety of effects on sleep, including marked reduction in rapid-eye-movement (REM) sleep, slow-wave sleep (SWS), and sleep latency, and an increase in light sleep. The effects of the newer AEDs on sleep are unknown. Our purpose was to study the effect of gabapentin (GBP) on sleep. METHODS:Ten healthy adults and nine controls were the subjects of this study. All underwent baseline and follow-up polysomnography (PSG) and completed sleep questionnaires. After baseline, the treated group received GBP titrated to 1,800 mg daily. Polygraphic variables and Epworth Sleepiness Scale (ESS) scores, a subjective measure of sleep propensity, were compared by using the Wilcoxon signed rank test. RESULTS:Nine of the treated subjects achieved the target dose; one was studied with 1,500 mg daily because of dizziness experienced at the higher dose. GBP-treated subjects had an increase in SWS compared with baseline. No difference in the ESS or other polygraphic variables was observed. However, a minor reduction in arousals, awakenings, and stage shifts was observed in treated subjects. CONCLUSIONS:GBP appears to be less disruptive to sleep than are some of the older AEDs. These findings may underlie the drug's therapeutic effect in the treatment of disorders associated with sleep disruption.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Foldvary-Schaefer N,De Leon Sanchez I,Karafa M,Mascha E,Dinner D,Morris HH

doi

10.1046/j.1528-1157.2002.21002.x

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

1493-7

issue

12

eissn

0013-9580

issn

1528-1167

pii

epi21002

journal_volume

43

pub_type

杂志文章
  • Double-blind, placebo-controlled evaluation of cinromide in patients with the Lennox-Gastaut Syndrome. The Group for the Evaluation of Cinromide in the Lennox-Gastaut Syndrome.

    abstract::This study evaluated the effects of cinromide in patients with Lennox-Gastaut Syndrome. No difference between cinromide and placebo was shown in terms of seizure reduction or global evaluations. This study is important, however, because it represents an effort to overcome methodologic difficulties inherent in evaluati...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1528-1157.1989.tb05321.x

    authors:

    更新日期:1989-07-01 00:00:00

  • Orthogonal wave propagation of epileptiform activity in the planar mouse hippocampus in vitro.

    abstract:PURPOSE:In vitro brain preparations have been used extensively to study the generation and propagation of epileptiform activity. Transverse and longitudinal slices of the rodent hippocampus have revealed various patterns of propagation. Yet intact connections between the transverse and longitudinal pathways should gene...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03125.x

    authors: Kibler AB,Durand DM

    更新日期:2011-09-01 00:00:00

  • Leucoencephalopathy with vanishing white matter may cause progressive myoclonus epilepsy.

    abstract::Leucoencephalopathy with vanishing white matter (VWM) is caused by mutations in the genes encoding for one of the five subunits that constitute the eukaryotic initiation factor 2B (eIF2B), and is characterized by a highly suggestive MRI pattern indicating vanishing of the cerebral white matter. Seizures are well known...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01542.x

    authors: Jansen AC,Andermann E,Niel F,Creveaux I,Boespflug-Tanguy O,Andermann F

    更新日期:2008-05-01 00:00:00

  • Pharmacokinetics and safety of VALTOCO (NRL-1; diazepam nasal spray) in patients with epilepsy during seizure (ictal/peri-ictal) and nonseizure (interictal) conditions: A phase 1, open-label study.

    abstract:OBJECTIVE:To assess pharmacokinetics and safety of diazepam nasal spray (NRL-1; VALTOCO®) in pediatric and adult patients with epilepsy in seizure and nonseizure states. METHODS:A single dose of diazepam nasal spray (5, 10, 15, or 20 mg based on weight) was administered during each of two conditions (ictal/peri-ictal ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16506

    authors: Hogan RE,Tarquinio D,Sperling MR,Klein P,Miller I,Segal EB,Rabinowicz AL,Carrazana E

    更新日期:2020-05-01 00:00:00

  • EEG in children with early-onset benign occipital seizure susceptibility syndrome: Panayiotopoulos syndrome.

    abstract:PURPOSE:We analyzed sequential changes in the localization of EEG foci along with age to identify a specific EEG pattern, and the relation between the clinical manifestations and the EEG pattern in patients with Panayiotopoulos syndrome (PS). METHODS:The subjects were 76 children, who had been followed up >2 years wit...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.47702.x

    authors: Ohtsu M,Oguni H,Hayashi K,Funatsuka M,Imai K,Osawa M

    更新日期:2003-03-01 00:00:00

  • Bioequivalence of oral and intravenous carbamazepine formulations in adult patients with epilepsy.

    abstract:OBJECTIVE:To evaluate the safety, tolerability, and comparative pharmacokinetics (PK) of intravenous and oral carbamazepine. METHODS:In this phase 1, open-label study, adult patients with epilepsy on a stable oral carbamazepine dosage (400-2,000 mg/day) were converted to intravenous carbamazepine (administered at 70% ...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/epi.13012

    authors: Tolbert D,Cloyd J,Biton V,Bekersky I,Walzer M,Wesche D,Drummond R,Lee D

    更新日期:2015-06-01 00:00:00

  • Presurgery expectations, postsurgery satisfaction, and psychosocial adjustment after epilepsy surgery.

    abstract:PURPOSE:The medical benefits of epilepsy surgery are well documented, but the psychosocial consequences of surgery have received less attention. This is especially true of the roles of expectations and satisfaction in postsurgery functioning. The present study was designed to examine the relationships between expectati...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01410.x

    authors: Wheelock I,Peterson C,Buchtel HA

    更新日期:1998-05-01 00:00:00

  • Clinical, functional, and neurophysiologic assessment of dysplastic cortical networks: Implications for cortical functioning and surgical management.

    abstract::Cortical malformations are highly epileptogenic lesions associated with complex, unanticipated, and often aberrant electrophysiologic and functional relationships. These relationships are inextricably linked to widespread cortical networks subserving eloquent functions, particularly language and motor ability. Cytomeg...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2009.02291.x

    authors: Duchowny M

    更新日期:2009-10-01 00:00:00

  • Late-onset periodic asystolia during vagus nerve stimulation.

    abstract::Cardiac changes may occasionally occur during vagus nerve stimulation (VNS) used in epileptic patients. As they can be potentially life-threatening, it is important to detect them, and this is why an intraoperative test is performed during the implantation. Few cases of asystole during this test have been described. O...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01918.x

    authors: Iriarte J,Urrestarazu E,Alegre M,Macías A,Gómez A,Amaro P,Artieda J,Viteri C

    更新日期:2009-04-01 00:00:00

  • Surgical outcome in PET-positive, MRI-negative patients with temporal lobe epilepsy.

    abstract:PURPOSE:Fluorodeoxyglucose positron emission computed tomography (FDG-PET) hypometabolism is important for surgical planning in patients with temporal lobe epilepsy (TLE), but its significance remains unclear in patients who do not have evidence of mesial temporal sclerosis (MTS) on magnetic resonance imaging (MRI). We...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03359.x

    authors: LoPinto-Khoury C,Sperling MR,Skidmore C,Nei M,Evans J,Sharan A,Mintzer S

    更新日期:2012-02-01 00:00:00

  • Spike wave location and density disturb sleep slow waves in patients with CSWS (continuous spike waves during sleep).

    abstract:OBJECTIVE:In CSWS (continuous spike waves during sleep) activation of spike waves during slow wave sleep has been causally linked to neuropsychological deficits, but the pathophysiologic mechanisms are still unknown. In healthy subjects, the overnight decrease of the slope of slow waves in NREM (non-rapid eye movement)...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12576

    authors: Bölsterli Heinzle BK,Fattinger S,Kurth S,Lebourgeois MK,Ringli M,Bast T,Critelli H,Schmitt B,Huber R

    更新日期:2014-04-01 00:00:00

  • Epilepsy in general practice: the Dutch situation.

    abstract::Treatment and supervision of epileptic patients is part of specialist medicine. A possible change in the role of specialists and general practitioners in the care of these patients was explored by a questionnaire mailed to all Dutch neurologists and a random sample of general practitioners. Patients were also asked th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03603.x

    authors: Rutgers MJ

    更新日期:1986-11-01 00:00:00

  • Effects of pregnancy on antiepileptic drug utilization.

    abstract::Pregnancy is associated with characteristic changes in the disposition of antiepileptic drugs; recent findings on this aspect of drug utilization are presented. In one study involving 48 pregnancies, the mean level-dose ratio of phenytoin decreased by 34%. In another study of 111 patients, phenytoin clearance increase...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05724.x

    authors: Levy RH,Yerby MS

    更新日期:1985-01-01 00:00:00

  • Effects of monotherapy and polytherapy on the blink reflex in epileptic patients.

    abstract::We performed the blink reflex (BR) in 20 normal volunteers, 13 epileptic patients receiving antiepileptic drug (AED) monotherapy, and 13 epileptic patients receiving AED polytherapy. Comparison of R1, ipsilateral and contralateral R2 and VIIth nerve latencies in the three groups showed no statistically significant dif...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02137.x

    authors: Lancman ME,Cristiano E,Golimstok A,Granillo RJ

    更新日期:1993-11-01 00:00:00

  • Expression of 5alpha-reductase and 3alpha-hydroxisteroid oxidoreductase in the hippocampus of patients with chronic temporal lobe epilepsy.

    abstract:PURPOSE:The hippocampus is one of the principal target areas for neurosteroidal action, and the major neuroendocrine conversion of progesterone appears to be 5alpha-reduction and 3alpha-hydroxysteroid oxidoreduction, leading to the potent neurosteroid 3alpha,5alpha-tetrahydroxyprogesterone. To investigate whether the h...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00133.x

    authors: Stoffel-Wagner B,Beyenburg S,Watzka M,Blümcke I,Bauer J,Schramm J,Bidlingmaier F,Elger CE

    更新日期:2000-02-01 00:00:00

  • The early prognosis of epilepsy in childhood: the prediction of a poor outcome. The Dutch study of epilepsy in childhood.

    abstract:PURPOSE:To examine which variables available early in the course of childhood epilepsy are associated with a poor short-term outcome and to develop models to predict such an outcome. METHODS:We prospectively followed up 466 children with newly diagnosed epilepsy for 2 years. Variables were collected at intake and afte...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb00770.x

    authors: Arts WF,Geerts AT,Brouwer OF,Boudewyn Peters AC,Stroink H,van Donselaar CA

    更新日期:1999-06-01 00:00:00

  • Lateralization of event-related potentials during discontinuation of antiepileptic medication.

    abstract::The effect of short-term withdrawal of antiepileptic drugs (AEDs) on auditory event-related potentials (ERPs) was studied in 16 patients undergoing preoperative evaluation for epilepsy surgery. ERPs were performed for all patients during treatment with full medication and after a 1-week period during ongoing tapering ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb00994.x

    authors: Tuunainen A,Nousiainen U,Pilke A,Mervaala E,Riekkinen P

    更新日期:1995-03-01 00:00:00

  • Preresection intraoperative electrocorticography (ECoG) abnormalities predict seizure-onset zone and outcome in pediatric epilepsy surgery.

    abstract:OBJECTIVE:The predictive value of intraoperative electrocorticography (ECoG) in pediatric epilepsy surgery is unknown. In a population of children undergoing ECoG followed typically by invasive extraoperative monitoring (IEM) and resection, we aimed to determine the relationship between frequent ECoG abnormalities and ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13341

    authors: Greiner HM,Horn PS,Tenney JR,Arya R,Jain SV,Holland KD,Leach JL,Miles L,Rose DF,Fujiwara H,Mangano FT

    更新日期:2016-04-01 00:00:00

  • Antiepileptic effect of gap-junction blockers in a rat model of refractory focal cortical epilepsy.

    abstract:PURPOSE:Epilepsy is the most common serious neurologic disease, and current treatments are ineffective for

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00540.x

    authors: Nilsen KE,Kelso AR,Cock HR

    更新日期:2006-07-01 00:00:00

  • Major patterns of human inheritance: relevance to the epilepsies.

    abstract::An understanding of the basic principles of human inheritance patterns is necessary to appreciate the variety and complexity of genetic influences in the epilepsies. The various modes of human inheritance include single gene (mendelian), chromosomal, mitochondrial, and multifactorial/polygenic. Recent insights regardi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb05924.x

    authors: Bird TD

    更新日期:1994-01-01 00:00:00

  • Predictors of focal to bilateral tonic-clonic seizures during long-term video-EEG monitoring.

    abstract:OBJECTIVE:To determine predictors of focal to bilateral tonic-clonic seizures (FBTCS) during video-electroencephalography (EEG) monitoring (VEM). METHODS:All adult patients undergoing presurgical VEM from 2014 to 2015 in the department of epileptology were eligible (N = 229). Those with refractory focal epilepsy and e...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16454

    authors: Pensel MC,Schnuerch M,Elger CE,Surges R

    更新日期:2020-03-01 00:00:00

  • Voxel-based magnetic resonance image postprocessing in epilepsy.

    abstract:OBJECTIVE:Although the general utility of voxel-based processing of structural magnetic resonance imaging (MRI) data for detecting occult lesions in focal epilepsy is established, many differences exist among studies, and it is unclear which processing method is preferable. The aim of this study was to compare the abil...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13851

    authors: Martin P,Winston GP,Bartlett P,de Tisi J,Duncan JS,Focke NK

    更新日期:2017-09-01 00:00:00

  • Perampanel and decanoic acid show synergistic action against AMPA receptors and seizures.

    abstract::Perampanel is an adjunctive treatment for epilepsy that works through the direct inhibition of AMPA receptors. The same molecular mechanism has recently been shown for a fatty acid, decanoic acid, prescribed in the medium chain triglyceride ketogenic diet for the treatment of patients with drug-resistant epilepsy. Bec...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14578

    authors: Augustin K,Williams S,Cunningham M,Devlin AM,Friedrich M,Jayasekera A,Hussain MA,Holliman D,Mitchell P,Jenkins A,Chen PE,Walker MC,Williams RSB

    更新日期:2018-11-01 00:00:00

  • Ictal hyperperfusion patterns in relation to ictal scalp EEG patterns in patients with unilateral hippocampal sclerosis: a SPECT study.

    abstract:PURPOSE:The aims of the present study were to explore the relation between ictal scalp EEG patterns and ictal hyperperfusion patterns in patients with unilateral hippocampal sclerosis-associated mesial temporal lobe epilepsy (HS-MTLE) by using semiquantitative single-photon emission computed tomography (SPECT) analysis...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00847.x

    authors: Kim JH,Im KC,Kim JS,Lee SA,Lee JK,Khang SK,Kang JK

    更新日期:2007-02-01 00:00:00

  • Pattern-sensitive epilepsy. I: A demonstration of a spatial frequency selective epileptic response to gratings.

    abstract::Rare individuals suffer epileptic seizures when they view certain images, particularly stripes. Contrast-threshold functions (the ability to see faint stripes of various widths) were determined for two pattern-sensitive brothers, and the epileptogenicity of various patterns was assessed for one of them. Sine wave grat...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1980.tb04075.x

    authors: Soso MJ,Lettich E,Belgum JH

    更新日期:1980-06-01 00:00:00

  • Amygdala kindling in the classical conditioning paradigm.

    abstract::The hypothesis was tested that epileptiform alterations of brain excitability may be elicited by a conditioning stimulus (CS) in a classical conditioning paradigm. Fifteen male albino rats were chronically implanted with electrodes in the amygdala and over the visual cortex. A train of six stroboscopic flashes served ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb04890.x

    authors: Myslobodsky MS,Mintz M,Lerner T,Mostofsky DI

    更新日期:1983-06-01 00:00:00

  • Sudden unexplained death among subjects with refractory epilepsy.

    abstract:PURPOSE:To address concerns about possible increases in rates of sudden unexplained death (SUD) after use of new anticonvulsants, more information on the rate of SUD among subjects with refractory epilepsy is needed to provide a comparison. METHODS:We conducted a study to estimate the incidence of SUD among subjects y...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00529.x

    authors: Derby LE,Tennis P,Jick H

    更新日期:1996-10-01 00:00:00

  • Increased concentration of prostaglandin E-2 in cerebrospinal fluid of children with febrile convulsions.

    abstract::Concentrations of prostaglandins (PGs) in the central nervous system are known to increase during and after experimentally induced seizures. In the present study, concentrations of PGE-2 were determined by radioimmunoassay in lumbar cerebrospinal fluid (CSF) of 17 children shortly after a febrile convulsion. PGE-2 dat...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb03724.x

    authors: Löscher W,Siemes H

    更新日期:1988-05-01 00:00:00

  • Insular epilepsy surgery.

    abstract::Since it was originally described nearly 70 years ago, insular epilepsy has been increasingly recognized and may explain failures after apparently well-planned operations. We review the history of awareness of the phenomenon, techniques for its assessment, and its surgical management. Insular epilepsy can mimic featur...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.13682

    authors: Laoprasert P,Ojemann JG,Handler MH

    更新日期:2017-04-01 00:00:00

  • Memory function and verbal learning ability in patients with complex partial seizures of temporal lobe origin.

    abstract::A variety of experimental paradigms have been utilized to study verbal learning and memory ability in patients with epilepsy. One commonly used paradigm, the free recall of a list(s) of related or unrelated words, has revealed a variety of performance anomalies in patients with complex partial seizures (CPS) of tempor...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03687.x

    authors: Hermann BP,Wyler AR,Richey ET,Rea JM

    更新日期:1987-09-01 00:00:00