Epilepsy and sleep apnea syndrome.

Abstract:

:We identified seven patients with refractory partial epilepsy and sleep apnea. Treatment of the sleep apnea with nasal continuous positive airway pressure (CPAP), protriptyline, trazodone, acetazolamide, or tracheostomy reduced seizure frequency and severity in six patients. Success with CPAP depended largely on compliance. Four of five patients had a clear reduction in seizure frequency with the use of CPAP. Sleep apnea may exacerbate epilepsy by causing sleep disruption and deprivation, hypoxemia, and decreased cerebral blood flow. In epilepsy patients with risk factors (eg, obesity) or markers (eg, habitual snoring, daytime somnolence) for sleep apnea, a careful sleep history should be elicited and a polysomnogram obtained when indicated. Treatment of the sleep disorder can improve seizure control.

journal_name

Neurology

journal_title

Neurology

authors

Devinsky O,Ehrenberg B,Barthlen GM,Abramson HS,Luciano D

doi

10.1212/wnl.44.11.2060

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

2060-4

issue

11

eissn

0028-3878

issn

1526-632X

journal_volume

44

pub_type

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