Bibileĭshvili Sh I, Saradzhishvili P M
Zh Nevropatol Psikhiatr Im S S Korsakova. 1980;80(6):801-5.
In 14 patients with generalized tonico-clonic convulsive seizures occurring both during wakefulness and sleep selective deprivation of stage IV of the slow sleep was performed. It was shown that the epileptic paroxysmal activity developed mainly at stage II of the slow sleep, while at stage IV it was observed very seldom. The selective deprivation at stage IV resulted in a considerable increase of the share of stage IV, an intensification of the paroxysmal activity at this stage, and its certain rise at the stage of the quick sleep. Possible mechanisms triggering stage IV of the slow sleep and their role in the reduction of the epileptic activity are discussed.
对14例在清醒和睡眠期间均出现全身强直阵挛性惊厥发作的患者进行了慢波睡眠IV期的选择性剥夺。结果表明,癫痫阵发性活动主要在慢波睡眠II期出现,而在IV期很少观察到。IV期的选择性剥夺导致IV期比例显著增加,该阶段阵发性活动增强,且在快波睡眠阶段也有一定程度的增加。文中讨论了引发慢波睡眠IV期的可能机制及其在减少癫痫活动中的作用。