Villanueva- Gómez F, Fernández-Miranda M C, de Juan-Frigola J, Salas-Puig J
Servicio de Neurofisiología Clínica. Hospital Central de Asturias, Oviedo, España.
Rev Neurol. 2002 Sep;35 Suppl 1:S47-51.
The relation between epilepsy and sleep has been known for some time. Seizures are often not observed by the examiner and it is necessary to make prolonged recordings during sleep, both slow or no REM sleep and paradoxical or REM sleep. Objective. To show the way in which a video recording may be made of a patient s seizures, together with an electroencephalogram recorded on a suitable disk and both sets of data be synchronised and studied as often as necessary.
We describe some of the epileptic seizures, recorded by this technique, during sleep. At the same time we show other paroxystic non epileptic episodes occurring during sleep which may be needed to be ruled out of the differential diagnosis.
We show that as a general rule the basic activity of paroxystic disorders seen on an electroencephalogram occurs during slow sleep phases and particularly during their early stages. These studies are especially relevant in children and in neonates a prolonged recording is essential
癫痫与睡眠之间的关系已为人所知有一段时间了。检查者常常观察不到癫痫发作,因此有必要在睡眠期间进行长时间记录,包括慢波或非快速眼动睡眠以及异相或快速眼动睡眠。目的:展示一种对患者癫痫发作进行视频记录的方法,同时在合适的磁盘上记录脑电图,并且两组数据要同步,并根据需要经常进行研究。
我们描述了通过该技术记录的一些睡眠期间的癫痫发作。同时,我们展示了睡眠期间出现的其他阵发性非癫痫发作事件,这些事件可能需要在鉴别诊断中排除。
我们表明,一般来说,脑电图上所见的阵发性疾病的基本活动发生在慢波睡眠阶段,尤其是在其早期阶段。这些研究在儿童中尤为重要,而对于新生儿,长时间记录至关重要。