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Circadian Rhythms and Epilepsy: A Suitable Case for Absence Epilepsy.

作者信息

Smyk Magdalena K, van Luijtelaar Gilles

机构信息

Groningen Institute for Evolutionary Life Sciences, University of Groningen, Groningen, Netherlands.

Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands.

出版信息

Front Neurol. 2020 Apr 28;11:245. doi: 10.3389/fneur.2020.00245. eCollection 2020.


DOI:10.3389/fneur.2020.00245
PMID:32411068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7198737/
Abstract

Many physiological processes such as sleep, hormonal secretion, or thermoregulation, are expressed as daily rhythms orchestrated by the circadian timing system. A powerful internal clock mechanism ensures proper synchronization of vital functions within an organism on the one hand, and between the organism and the external environment on the other. Some of the pathological processes developing in the brain and body are subjected to circadian modulation as well. Epilepsy is one of the conditions which symptoms often worsen at a very specific time of a day. Variation in peak occurrence depends on the syndrome and localization of the epileptic focus. Moreover, the timing of some types of seizures is closely related to the sleep-wake cycle, one of the most prominent circadian rhythms. This review focuses on childhood absence epilepsy (CAE), a genetic generalized epilepsy syndrome, in which both, the circadian and sleep influences play a significant role in manifestation of symptoms. Human and animal studies report rhythmical occurrence of spike-wave discharges (SWDs), an EEG hallmark of CAE. The endogenous nature of the SWDs rhythm has been confirmed experimentally in a genetic animal model of the disease, rats of the WAG/Rij strain. Well-known detrimental effects of circadian misalignment were demonstrated to impact the severity of ongoing epileptic activity. SWDs are vigilance-dependent in both humans and animal models, occurring most frequently during passive behavioral states and light slow-wave sleep. The relationship with the sleep-wake cycle seems to be bidirectional, while sleep shapes the rhythm of seizures, epileptic phenotype changes sleep architecture. Circadian factors and the sleep-wake states dependency have a potential as add-ons in seizures' forecasting. Stability of the rhythm of recurrent seizures in individual patients has been already used as a variable which refines existing algorithms for seizures' prediction. On the other hand, apart from successful pharmacological approach, circadian hygiene including sufficient sleep and avoidance of internal desynchronization or sleep loss, may be beneficial for patients with epilepsy in everyday management of seizures.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b626/7198737/cab551a10800/fneur-11-00245-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b626/7198737/e902d6710ca9/fneur-11-00245-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b626/7198737/ad7db06dc9f9/fneur-11-00245-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b626/7198737/cab551a10800/fneur-11-00245-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b626/7198737/e902d6710ca9/fneur-11-00245-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b626/7198737/ad7db06dc9f9/fneur-11-00245-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b626/7198737/cab551a10800/fneur-11-00245-g0003.jpg

相似文献

[1]
Circadian Rhythms and Epilepsy: A Suitable Case for Absence Epilepsy.

Front Neurol. 2020-4-28

[2]
Can absence seizures be predicted by vigilance states?: Advanced analysis of sleep-wake states and spike-wave discharges' occurrence in rats.

Epilepsy Behav. 2019-5-30

[3]
Spike-Wave Discharges and Sleep-Wake States during Circadian Desynchronization: No Effects of Agomelatine upon Re-Entrainment.

Neuroscience. 2019-4-9

[4]
Spike-wave seizures, slow-wave sleep EEG and morphology of substantia nigra pars compacta in WAG/Rij rats with genetic predisposition to absence epilepsy.

Brain Res Bull. 2021-9

[5]
Genetic models of absence epilepsy, with emphasis on the WAG/Rij strain of rats.

Epilepsy Res. 1992-7

[6]
Endogenous rhythm of absence epilepsy: relationship with general motor activity and sleep-wake states.

Epilepsy Res. 2010-12-13

[7]
Spike-Wave Seizures, NREM Sleep and Micro-Arousals in WAG/Rij Rats with Genetic Predisposition to Absence Epilepsy: Developmental Aspects.

Life (Basel). 2022-4-12

[8]
The WAG/Rij strain: a genetic animal model of absence epilepsy with comorbidity of depression [corrected].

Prog Neuropsychopharmacol Biol Psychiatry. 2010-11-17

[9]
Absence epilepsy and the level of vigilance in rats of the WAG/Rij strain.

Neurosci Biobehav Rev. 1991

[10]
Spike-wave discharges and sleep-wake states in rats with absence epilepsy.

Epilepsy Res. 1991-9

引用本文的文献

[1]
Vagal nerve signals are modulated by spontaneous seizures in Genetic Absence Epilepsy Rats from Strasbourg.

Front Neurosci. 2025-7-7

[2]
WONOEP appraisal: Targeted therapy development for early onset epilepsies.

Epilepsia. 2025-2

[3]
The neuronal density in the rostral pole of substantia nigra pars compacta in Wistar Albino rats from Rijswijk rats: A link to spike-wave seizures.

J Biol Methods. 2024-9-10

[4]
Involvement of orexin type-2 receptors in genetic absence epilepsy rats.

Front Neurol. 2023-11-30

[5]
The effects of COVID-19 on sleep and general health of Czech patients with epilepsy.

Heliyon. 2023-2

[6]
Alpha2-Adrenergic Receptors as a Pharmacological Target for Spike-Wave Epilepsy.

Int J Mol Sci. 2023-1-12

[7]
Spike-Wave Seizures, NREM Sleep and Micro-Arousals in WAG/Rij Rats with Genetic Predisposition to Absence Epilepsy: Developmental Aspects.

Life (Basel). 2022-4-12

[8]
Effects of Postnatal Caffeine Exposure on Absence Epilepsy and Comorbid Depression: Results of a Study in WAG/Rij Rats.

Brain Sci. 2022-3-8

[9]
The impact of tethered recording techniques on activity and sleep patterns in rats.

Sci Rep. 2022-2-24

[10]
Fluctuations in EEG band power at subject-specific timescales over minutes to days explain changes in seizure evolutions.

Hum Brain Mapp. 2022-6-1

本文引用的文献

[1]
A Systematic Review of Evidence for a Role of Rest-Activity Rhythms in Dementia.

Front Psychiatry. 2019-10-30

[2]
NREM sleep is the state of vigilance that best identifies the epileptogenic zone in the interictal electroencephalogram.

Epilepsia. 2019-11-9

[3]
Melanopsin and the Intrinsically Photosensitive Retinal Ganglion Cells: Biophysics to Behavior.

Neuron. 2019-10-23

[4]
Ultra-long-term subcutaneous home monitoring of epilepsy-490 days of EEG from nine patients.

Epilepsia. 2019-10-13

[5]
Circadian Variation of Migraine Attack Onset: A Review of Clinical Studies.

Biomed Res Int. 2019-8-25

[6]
A network approach to investigate the bi-hemispheric synchrony in absence epilepsy.

Clin Neurophysiol. 2019-7-1

[7]
Circadian Rhythm of Cardiovascular Disease: The Potential of Chronotherapy With Aspirin.

Front Cardiovasc Med. 2019-6-20

[8]
Can absence seizures be predicted by vigilance states?: Advanced analysis of sleep-wake states and spike-wave discharges' occurrence in rats.

Epilepsy Behav. 2019-5-30

[9]
Spike-Wave Discharges and Sleep-Wake States during Circadian Desynchronization: No Effects of Agomelatine upon Re-Entrainment.

Neuroscience. 2019-4-9

[10]
Endogenous multidien rhythm of epilepsy in rats.

Exp Neurol. 2019-2-15

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