Bradai-Meskine F, Chalabi-Benabdellah A
Service de physiologie et explorations fonctionnelles, centre hospitalo-universitaire, 22000 Sidi-Bel-Abbés, Algérie.
Rev Neurol (Paris). 2009 Jan;165(1):63-9. doi: 10.1016/j.neurol.2008.04.021. Epub 2008 Aug 27.
The relationship between sleep and epilepsy has been established since the antiquity and remains a subject of research in neurophysiology.
Nap electroencephalogram (EEG) after partial deprivation of sleep (ESPPS) the night before and the eve of the EEG after partial deprivation of sleep (EVPPS) was performed at the neurophysiology laboratory of the Sidi-Bel-Abbés University Hospital (Algeria). The series included 129 children with various types of epilepsy, aged between two and 15 years, whose standard EEG was normal (without sleep deprivation). Depending on the child's age, partial sleep deprivation was performed by the parents by beginning evening sleep late and early morning awakening. This recording procedure was performed in calm conditions and in a dark atmosphere using head electrodes.
Activation (interictal paroxysms or non paroxysmal pathologic activity) was observed in 73% of patients after partial deprivation of night sleep. Ictal events were recorded in six patients.
This method was contributive to diagnosis in three-quarters of the patients. The EVPPS was more conclusive than the ESPPS. This fact demonstrated the usefulness of sleep deprivation for the exploration of electric abnormalities not detected by a standard EEG.
睡眠与癫痫之间的关系自古代就已确立，至今仍是神经生理学研究的课题。
在西迪-贝勒-阿巴斯大学医院（阿尔及利亚）的神经生理学实验室，于前一晚进行部分睡眠剥夺（ESPPS）后的午睡脑电图（EEG）检查，并在部分睡眠剥夺（EVPPS）的前夕进行EEG检查。该系列研究纳入了129名年龄在2至15岁之间、患有各种类型癫痫且标准脑电图正常（未进行睡眠剥夺）的儿童。根据孩子的年龄，家长通过延迟晚上入睡时间和提前早晨起床的方式进行部分睡眠剥夺。该记录过程在安静条件下和黑暗环境中使用头部电极进行。
73%的患者在部分夜间睡眠剥夺后观察到激活（发作间期阵发性放电或非阵发性病理性活动）。6名患者记录到发作期事件。
该方法对四分之三的患者诊断有帮助。EVPPS比ESPPS更具决定性。这一事实证明了睡眠剥夺对于探索标准脑电图未检测到的电异常的有用性。
