Rumpl E, Lorenzi E, Bauer G, Hengl W
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1977 Dec;8(4):205-9.
Seventy seven adult epileptics and 30 patients with clinically non epileptic seizures were subject to a 24 hours sleep deprivation. The waking records of these patients were normal or unspecific abnormal. After sleep deprivation 29 (37%) of epileptics had abnormal EEG with epileptiform or focal activity, more often in cases with frequent (26 (60%) patients out of 43) epileptic seizures. Patients with sporadic attacks only exceptionally showed specific EEG changes (3 patients (8,8%) out of 34). Drug induced sleep emerged to be diagnostically less helpful. Twenty nine out of 30 patients with clinical nonepileptic seizures had no additional abnormalities in the EEG after sleep deprivation.
77名成年癫痫患者和30名临床诊断为非癫痫性发作的患者接受了24小时睡眠剥夺。这些患者清醒时的记录正常或有非特异性异常。睡眠剥夺后,29名(37%)癫痫患者脑电图出现癫痫样或局灶性活动异常,癫痫发作频繁的患者中更常见(43名患者中有26名(60%))。仅有散发性发作的患者极少出现特异性脑电图改变(34名患者中有3名(8.8%))。药物诱导睡眠在诊断上帮助较小。30名临床诊断为非癫痫性发作的患者中,29名在睡眠剥夺后脑电图无其他异常。