Expert Opinion: Managing sleep disturbances in people with epilepsy.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_6CAB16A3ADF4
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Expert Opinion: Managing sleep disturbances in people with epilepsy.
Périodique
Epilepsy & behavior
Auteur⸱e⸱s
Nobili L., Beniczky S., Eriksson S.H., Romigi A., Ryvlin P., Toledo M., Rosenzweig I.
ISSN
1525-5069 (Electronic)
ISSN-L
1525-5050
Statut éditorial
Publié
Date de publication
04/10/2021
Peer-reviewed
Oui
Volume
124
Pages
108341
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Poor sleep and daytime sleepiness are common in people with epilepsy. Sleep disorders can disrupt seizure control and in turn sleep and vigilance problems can be exacerbated by seizures and by antiepileptic treatments. Nevertheless, these aspects are frequently overlooked in clinical practice and a clear agreement on the evidence-based guidelines for managing common sleep disorders in people with epilepsy is lacking. Recently, recommendations to standardize the diagnostic pathway for evaluating patients with sleep-related epilepsies and comorbid sleep disorders have been presented. To build on these, we adopted the Delphi method to establish a consensus within a group of experts and we provide practical recommendations for identifying and managing poor night-time sleep and daytime sleepiness in people with epilepsy. We recommend that a comprehensive clinical history of sleep habits and sleep hygiene should be always obtained from all people with epilepsy and their bed partners. A psychoeducational approach to inform patients about habits or practices that may negatively influence their sleep or their vigilance levels should be used, and strategies for avoiding these should be applied. In case of a suspected comorbid sleep disorder an appropriate diagnostic investigation should be performed. Moreover, the possible presence of sleep fragmentation induced by sleep-related seizures should be ruled out. Finally, the dose and timing of antiepileptic medications and other co-medications should be optimized to improve nocturnal sleep and avoid daytime sedation.
Mots-clé
AED, ASM, Hypersomnia, Insomnia, Seizure
Pubmed
Web of science
Open Access
Oui
Création de la notice
19/10/2021 14:00
Dernière modification de la notice
13/02/2024 8:24
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