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[癫痫中的睡眠障碍]

[Sleep disorders in epilepsy].

作者信息

Kotova O V, Akarachkova E S

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2014;114(5):100-3.

Abstract

The review of the literature on sleep disorders in epilepsy over the last two decades is presented. Paroxysmal phenomena of epileptic origin, nonepileptic paroxysms, antiepileptic drugs, polypragmasia and comorbid depression may affect sleep in epilepsy.Shortening of sleep time may cause seizures, hallucinations and depression because sleep plays an important role in the regulation of excitatory and inhibitory processes in the brain both in healthy people and in patients with epilepsy. According to the literature data, drugs (short treatment courses of hypnotics) or nonpharmacological methods should be used for treatment insomnia inpatients with epilepsy.

摘要

本文对过去二十年关于癫痫睡眠障碍的文献进行了综述。癫痫源性阵发性现象、非癫痫性发作、抗癫痫药物、多重用药及共病抑郁可能影响癫痫患者的睡眠。睡眠时间缩短可能导致癫痫发作、幻觉及抑郁,因为睡眠在健康人和癫痫患者大脑兴奋与抑制过程的调节中均发挥重要作用。根据文献数据,癫痫患者失眠的治疗应采用药物(短期催眠药疗程)或非药物方法。

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