Division of Neurology, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
Epilepsy Behav. 2010 Jan;17(1):120-3. doi: 10.1016/j.yebeh.2009.11.008. Epub 2009 Dec 9.
The aim of the study was to evaluate excessive daytime sleepiness and subjective sleep quality in patients who undergo epilepsy surgery for treatment of refractory partial seizures. Forty-eight patients were enrolled in this research study. All of them were evaluated 2 days before and 3 months after the surgery. Two questionnaires were used to assess daytime sleepiness (Epworth Sleepiness Scale [ESS]) and sleep quality (Pittsburgh Sleep Quality Index [PSQI]). Global PSQI was high (mean=5.65 SD=3.71) before the surgical procedure (P<0.001). PSQI evaluation revealed higher and statistically significant scores in three components as well as in the global score, when analyzed by predominance of daytime or nocturnal seizures. ESS and PSQI scores were also analyzed by gender, antiepileptic drug class, age, and seizure frequency, with no significant differences. We concluded that patients with partial recurrent seizures of temporal origin have poor subjective sleep quality that improves significantly after epilepsy surgery.
本研究旨在评估接受癫痫手术治疗耐药性部分性发作的患者日间过度嗜睡和主观睡眠质量。共有 48 名患者入组本研究。所有患者均在术前 2 天和术后 3 个月进行评估。使用两种问卷评估日间嗜睡（Epworth 嗜睡量表 [ESS]）和睡眠质量（匹兹堡睡眠质量指数 [PSQI]）。术前 PSQI 评分较高（均值=5.65，标准差=3.71）（P<0.001）。分析以日间或夜间发作为主时，PSQI 评估在三个组成部分以及总体评分上显示出更高且具有统计学意义的评分。ESS 和 PSQI 评分也按性别、抗癫痫药物类别、年龄和发作频率进行分析，无显著差异。我们得出结论，起源于颞叶的部分性复发性发作患者的主观睡眠质量较差，癫痫手术后明显改善。
