Bacia T, Czarkwini-Pacak L, Fryze C
Neurol Neurochir Pol. 1986 Sep-Oct;20(5):410-4.
100 all night sleep records in 90 patients with various forms of epilepsy and 10 patients with syncope were analyzed. There were 10 patients with generalized epilepsy, 41-with partial epilepsy with complex symptomatology and temporal foci, 23--with mixed seizures and frontal focal changes and 16 patients with partial epilepsy with simple seizures and various location of EEG foci. Normal sleep pattern was present in 21% of cases. The most frequent changes of sleep pattern were: prolongation of sleep onset and the latency of the first episode of REM, instability of sleep stages and absence of sleep spindles. Interictal discharges appeared mostly in all sleep stages of NREM. 50% of epileptic patients showed focal spikes in REM. Nocturnal seizures occurred in 18 patients, in several of them very frequently.
对90例各种类型癫痫患者和10例晕厥患者的100份整夜睡眠记录进行了分析。其中有10例全身性癫痫患者,41例具有复杂症状和颞叶病灶的部分性癫痫患者,23例具有混合性发作和额叶病灶改变的患者,以及16例具有单纯发作和脑电图病灶位置各异的部分性癫痫患者。21%的病例睡眠模式正常。睡眠模式最常见的变化为:睡眠开始时间和首次快速眼动发作潜伏期延长、睡眠阶段不稳定以及睡眠纺锤波缺失。发作间期放电大多出现在非快速眼动睡眠的所有阶段。50%的癫痫患者在快速眼动睡眠期出现局灶性棘波。18例患者发生夜间癫痫发作,其中有几例发作非常频繁。