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觉醒障碍和睡眠相关运动性癫痫发作 - 概述和挑战 夜晚是睡眠和觉醒促进力量的战场。

Disorders of arousal and sleep-related hypermotor epilepsy - overview and challenges night is a battlefield of sleep and arousal promoting forces.

机构信息

Szentagothai János School of Ph.D Studies, Clinical Neurosciences, Semmelweis University, Budapest, Hungary.

Department of Behavioral Sciences, National Institute of Clinical Neurosciences, Semmelweis University, Budapest, Hungary.

出版信息

Neurol Sci. 2022 Feb;43(2):927-937. doi: 10.1007/s10072-021-05857-0. Epub 2022 Jan 5.

DOI:10.1007/s10072-021-05857-0
PMID:34984571
Abstract

Arousability and reactivity to sensory stimuli are essential features of sleep, discriminating it from coma and keeping the sleeper in contact with the environment. Arousals and oscillations during sleep serve the reversibility of sleep and carry an alarm function awakening the sleeper in danger. In this review, we will explore mechanisms and circuits involved in arousal intrusions within the sleep texture, focusing on the significance of these phenomena in two sleep-related conditions: NREM sleep parasomnias and sleep-related hypermotor epilepsy. Knowledges and gaps in the field are discussed.

摘要

觉醒性和对感觉刺激的反应是睡眠的基本特征,将其与昏迷区分开来,并使睡眠者与环境保持联系。睡眠中的觉醒和振荡有助于睡眠的可逆性,并具有警报功能,在睡眠者处于危险时唤醒他们。在这篇综述中,我们将探讨睡眠结构中觉醒侵入的相关机制和回路,重点关注这些现象在两种与睡眠相关的情况下的意义:非快速眼动期睡眠障碍和与睡眠相关的运动性癫痫。讨论了该领域的知识和差距。

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2
Sleep and Epilepsy Link by Plasticity.睡眠与癫痫通过可塑性建立联系。
Front Neurol. 2020 Aug 28;11:911. doi: 10.3389/fneur.2020.00911. eCollection 2020.
3
Standard procedures for the diagnostic pathway of sleep-related epilepsies and comorbid sleep disorders: A European Academy of Neurology, European Sleep Research Society and International League against Epilepsy-Europe consensus review.
睡眠医学:实践、挑战与新前沿。
Front Neurol. 2022 Oct 14;13:966659. doi: 10.3389/fneur.2022.966659. eCollection 2022.
睡眠相关性癫痫和共病性睡眠障碍诊断途径的标准程序:欧洲神经病学学会、欧洲睡眠研究学会和国际抗癫痫联盟-欧洲共识综述。
J Sleep Res. 2020 Dec;29(6):e13184. doi: 10.1111/jsr.13184. Epub 2020 Sep 21.
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Seizures with paroxysmal arousals in sleep-related hypermotor epilepsy (SHE): Dissecting epilepsy from NREM parasomnias.睡眠相关运动过度性癫痫(SHE)伴发作性觉醒的惊厥:从非快速眼动期睡眠障碍中解析癫痫。
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