Abstract
Epilepsy is a chronic neurological disorder which is manifested at some times and masked at others. Sleep-waking state physiology is one of the most well documented factoKs affecting the clinical expression or suppression of human epilepsy1,2. Specifically, non-rapid-eye-movement (NREM) sleep and the gradual process of awakening from NREM sleep are the most vulnerable periods for seizures, especially convulsions. Moreover, the type of epilepsy is an important consideration in the timing of convulsions. Temporal lobe epilepsy with secondary generalized convulsions is the most common pure sleep epilepsy, with convulsions occurring in NREM or the transition from NREM to rapid-eye-movement (REM) sleep in nearly 60% of the patients2. In contrast, over 90% of patients with primary generalizgd, “petit mal” epilepsy display convulsions exclusively after awakening2. Finally, type of epilepsy is not a factor in the suppression of seizures during REM sleep. REM sleep is the most anti-epileptic state in the sleep-wake cycle for all generalized electrographic (EEG) and clinical seizures1.
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© 1990 Plenum Press, New York
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Shouse, M.N. et al. (1990). Basic Mechanisms Underlying Seizure-Prone and Seizure-Resistant Sleep and Awakening States in Feline Kindled and Penicillin Epilepsy. In: Wada, J.A. (eds) Kindling 4. Advances in Behavioral Biology, vol 37. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5796-4_23
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DOI: https://doi.org/10.1007/978-1-4684-5796-4_23
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