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Zeitschrift für Epileptologie

, Volume 32, Issue 1, pp 47–51 | Cite as

Interaktion zwischen schlafbezogenen Atemstörungen und Epilepsie

  • Michael LanzEmail author
Leitthema
  • 11 Downloads

Zusammenfassung

Schlafbezogene Atemstörungen sind eine Krankheitsentität mit unterschiedlichen Ursachen, die eine hohe Prävalenz hat. Sie ist Grundlage einer Vielzahl von chronischen Komorbiditäten und kann akut die physische und psychische Tagesbefindlichkeit der Betroffenen deutlich beeinträchtigen. Im Vordergrund stehen die Symptome des nichterholsamen Schlafes mit Tagesmüdigkeit/-schläfrigkeit, Aufmerksamkeits- und Merkfähigkeitsstörungen sowie psychische Symptome z. B. der Depression. All diese Symptome können gleichermaßen Ausdruck einer Epilepsie sein, sei es strukturell oder funktionell, durch wiederkehrende, z. B. nächtliche Anfälle oder als Störwirkung in der medikamentösen und/oder neurostimulativen Behandlung. Für eine individuelle, symptomorientierte und erfolgreiche Therapie ist es entsprechend notwendig, die Interaktionen der Krankheiten zu kennen und sie im klinischen „follow up“ zu differenzieren.

Schlüsselwörter

Schlafbezogene Atemstörungen Tagesmüdigkeit/-schläfrigkeit Lebensqualität Depression VNS THS 

Interaction between sleep-related respiratory disorders and epilepsy

Abstract

Sleep-related breathing disorder is an umbrella term for a disease entity with a variety of causes, which has a high prevalence. It is the basis for a multitude of chronic comorbidities and which can significantly impair the daily physical and mental well-being of those affected. The main symptoms are those of non-restorative sleep with daytime sleepiness and fatigue, attention and awareness disorders as well as mental symptoms, such as depression. All these symptoms can also represent an expression of epilepsy, be it structural or functional, due to recurrent nocturnal seizures or as an interference effect in the drug and/or neurostimulative treatment. For an individual symptom-oriented and successful therapy it is therefore necessary to recognize the interaction of the diseases and to differentiate them in the clinical follow-up.

Keywords

Sleep-disordered breathing Daytime drowsiness/sleepiness Quality of life Depression VNS DBS 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M. Lanz gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Epilepsiezentrum HamburgEvangelisches Krankenhaus AlsterdorfHamburgDeutschland

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