Standard procedures for the diagnostic pathway of sleep-related epilepsies and comorbid sleep disorders: an EAN, ESRS and ILAE-Europe consensus review.

Details

Serval ID
serval:BIB_4E80F7D5CA94
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Standard procedures for the diagnostic pathway of sleep-related epilepsies and comorbid sleep disorders: an EAN, ESRS and ILAE-Europe consensus review.
Journal
European journal of neurology
Author(s)
Nobili L., de Weerd A., Rubboli G., Beniczky S., Derry C., Eriksson S., Halasz P., Högl B., Santamaria J., Khatami R., Ryvlin P., Rémi J., Tinuper P., Bassetti C., Manni R., Koutroumanidis M., Vignatelli L.
ISSN
1468-1331 (Electronic)
ISSN-L
1351-5101
Publication state
Published
Issued date
21/09/2020
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Some epilepsy syndromes (sleep-related epilepsies, SREs) have a strong link with sleep. Comorbid sleep disorders are common in patients with SRE and can exert a negative impact on seizure control and quality of life. Our purpose was to define the standard procedures for the diagnostic pathway of patients with possible SRE (scenario 1) and the general management of patients with SRE and comorbidity with sleep disorders (scenario 2).
The project was conducted under the auspices of the European Academy of Neurology, the European Sleep Research Society and the International League Against Epilepsy Europe. The framework entailed the following phases: conception of the clinical scenarios; literature review; statements regarding the standard procedures. For the literature search a stepwise approach starting from systematic reviews to primary studies was applied. Published studies were identified from the National Library of Medicine's MEDLINE database and Cochrane Library.
Scenario 1: Despite a low quality of evidence, recommendations on anamnestic evaluation and tools for capturing the event at home or in the laboratory are provided for specific SREs. Scenario 2: Early diagnosis and treatment of sleep disorders (especially respiratory disorders) in patients with SRE are likely to be beneficial for seizure control.
Definitive procedures for evaluating patients with SRE are lacking. Advice is provided that could be of help for standardizing and improving the diagnostic approach of specific SREs. The importance of identifying and treating specific sleep disorders for the management and outcome of patients with SRE is underlined.
Keywords
clinical and diagnostic investigations, clinical neurophysiology, electroencephalography (EEG), epilepsy, guideline, insomnia, juvenile myoclonic epilepsy, neurological disorders, nocturnal seizures, panayiotopoulos syndrome, polysomnography, research methods, restless legs syndrome, rolandic epilepsy, seizure questionnaire, sleep-disordered breathing, sleep-related epilepsies
Pubmed
Web of science
Create date
28/09/2020 9:28
Last modification date
12/06/2021 6:34
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