Aoki Ryo, Ito Hiroshi
Nihon Rinsho. 2014 May;72(5):920-5.
It has been reported that patients with epilepsy often have insomnia and/or daytime sleepiness; the symptomatologic features differ in seizure types. Not only the administration of anti-epileptics, but also inappropriate sleep hygiene cause daytime sleepiness. In subjective assessment of sleepiness, we need to pay attention if it can correctly assess or not. The prevalence of obstructive sleep apnea in patients with epilepsy is approximately 10-30%. Sleep apnea deteriorates the seizure control because of worsen sleep condition by sleep apnea, especially in elderly patients. Some researchers report that continuous positive airway pressure was effective for seizure control. Patients with epilepsy occasionally have REM sleep behavior disorder as comorbidity. Examination using polysomnography is required for differential diagnosis.
据报道，癫痫患者常伴有失眠和/或日间嗜睡；症状特征因癫痫发作类型而异。不仅抗癫痫药物的使用，不适当的睡眠卫生习惯也会导致日间嗜睡。在嗜睡的主观评估中，我们需要注意其是否能正确评估。癫痫患者中阻塞性睡眠呼吸暂停的患病率约为10%-30%。睡眠呼吸暂停会因睡眠状况恶化而使癫痫控制变差，尤其是在老年患者中。一些研究人员报告称持续气道正压通气对癫痫控制有效。癫痫患者偶尔会合并快速眼动睡眠行为障碍。鉴别诊断需要使用多导睡眠图进行检查。
