Distúrbios do Sono, Epilepsia e Indicações para o Registro Polissonográfico – Revisão
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https://doi.org/10.34024/rnc.1998.v6.10332Palavras-chave:
Epilepsias, distúrbios do sono, sono REM, sono lento, polissonografiaResumo
Existe muita confusão e superposição entre os distúrbios do sono e as epilepsias, que variam de eventos fisiológicos a hipersonia, insônia e parassonias. O uso de registros polissonográficos sob monitorização audiovisual tem possibilitado a caracterização de novos fenômenos e entidades nosológicas, com melhora acentuada das abordagens diagnósticas. Este trabalho é um guia clínico e revisão da literatura do uso da polissonografia (PSG) para o diagnóstico dos distúrbios do sono e epilepsia. Também revisamos a distribuição circadiana das crises e os efeitos recíprocos das crises epilépticas e do sono. O exame polissonográfico pode ser indicado para: pacientes com parassonia ou com crises epilépticas sono-relacionadas que não respondem à terapêutica convencional; para o diagnóstico das interrupções do sono que possam estar relacionadas às crises epilépticas e quando existe suspeita clínica de ocorrência de movimentos periódicos das pernas no sono.
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Referências
1. Aldrich, M.S.; Jahnke, B. Diagnostic value of video-EEG polysomnography. Neurology, 41: 1060-6, 1991.
2. ASDA. An American Sleep Disorders Association Report. Practice parameters for the indications for polysomnography and related procedures. Sleep, 20: 406-22, 1997.
3. ASDA. National Commission on Sleep Disorders Research. A report of the National Commission on Sleep Disorders Research. Wake up America: a national sleep alert, vol. 2. Washington, DC: U.S. Government Printing Office, 1995: 10.
4. Aserinky, E.; Kleitman, N. Regularly occurring periods of eye motility, and concomitant phenomena, during sleep. Science, 118: 273-4, 1953.
5. Baldy-Moulinier, M. Inter-relationships between sleep and epilepsy. In: Pedley, T.A.; Meldrum, B.I. Recent Advances in Epilepsy. New York, Churchill Livingstone, 1986, p. 37-55.
6. Batini, C.; Criticos, A.; Fressy, J.; Gastaut, H. Nocturnal sleep in patients presenting epilepsy with bisyncronous EEG discharges. Electroencephal Clin Neurophysiol, 14: 957-8, 1962.
7. Batini, C.; Fressy, J.; Naquet, R.; Orfanos, A.; Saint-Laurent, J. Étude du sommeil nocturne chez 20 sujets présentant des décharges irritatives localisées. Rev Neurol (Paris), 108: 1723, 1963.
8. Bazil, C.W.; Walczak, T.S. Effects of sleep stage on epileptic and nonepileptic seizures. Epilepsia, 38: 56-62, 1997.
9. Blum, D.E. New drugs for persons with epilepsy. In: French, J.; Leppik, I.; Dichter, M.A. (eds.) Advances in Neurology. Philadelphia, Lippincott-Raven Publishers, 1998, p. 57-87.
10. Cadilhac, J.; Passouant, P. Influence of various phases of night sleep on the epileptic discharge in man. Electroencephal Clin Neurophysiol, 17: 441-2, 1964.
11. Cadilhac, J. Complex partial seizures and REM sleep. In: Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 315-24.
12. Cadilhac, J.; Vlahovitch, B.; Delnge-Walter, M. Modifications des decharges epiléptiques au cours de la periode des mouvements occulaires. In: Fishgold, H. (ed.) Sommeil de Nuit Normal et Pathologique. Paris, Masson, 1965, p. 279-82.
13. Chesson, A.L.; Ferber, R.A.; Fry, J.M.; Grigg-Damberger, M. et al. An American Sleep Disorders Association review: The indications for polysomnography and related procedures. Sleep, 20: 423-87, 1997.
14. Coleman, R.M.; Pollack, C.P.; Weltzman, E.D. Periodic movements in sleep (nocturnal myoclonus): Relation to sleep disorders. Ann Neurol, 8: 416-21, 1980.
15. Dahl, M.; Dam, M. Sleep and epilepsy. Ann Clin Res, 17: 23542, 1985.
16. Degen, R.; Niedermeier, E. (eds.) Epilepsy, sleep and sleep deprivation. Amsterdam. Elsevier, 1984, p. 368.
17. Delange, M.; Castan, P.; Cadilhac, J.; Passouant, P. Études du sommeil de nuit au cours d’épilepsies centrencephaliques et temporales. Rev Neurol (Paris), 106: 106-13, 1962.
18. Delange, M.; Bouldy-Moulinier, M.; Cadilhac, J.; Passouant, P. Études d’épilepsies avec décharges életroencéphalographiques bilatérales. Influence du sommeil de nuit sur le crises et les décharges. Rev Neurol (Paris), 109: 337-40, 1963.
19. Dement, W.; Kleitman, N. Cyclic variations in EEG during sleep and their relation to eye movements, body motility, and dreaming. EEG Clin. Neurophysiol, 9: 673-90, 1957.
20. Diagnostic Classification Steering Committee, Thorpy, M.J., Chairman. International Classification of Sleep Disorders: diagnostic and coding manual. Rochester, MN: American Sleep Disorders Association, 141-95, 1990.
21. Fish, B.J. Laboratory Techniques in Sleep Medicine – American Academy of Neurology Congress, 1997.
22. Gibberd, F.B.; Bateson, M.C. Sleep epilepsy: its pattern and prognosis. Brit Med J, 2: 403-5, 1974.
23. Guilleminaut, C.; Dement, W.C.; Passouant, P. Narcolepsy. Spectrum Publ. New York, 1976.
24. Johnson, L.C. Effects of anticonvulsant medication on sleep patterns. In: Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 381-94.
25. Kobayashi, K.; Nishibayashi, N.; Ohtsuka, Y.; Oka, E.; Ohtahara, S. Epilepsy with electrical status epilepticus during slow sleep and secondary bilateral syncrony. Epilepsia, 35: 1097-1103, 1994.
26. Koridze, M.G. Effect of petit-mal and generalized seizures on the sleep-wakefulness cycle. Sleep 1978. Fourth European Congress on Sleep Research. Tirgu-Mures. Basel. S. Karger, 1980, 713-6.
27. Lieb, J.P.; Joseph, J.P.; Engel, J.; Walker, J.; Crandall, P.H. Sleep state and seizure foci related to depth spike activity in patients with temporal lobe epilepsy. Electroencephal Clin Neurophysiol, 49: 538-57, 1980.
28. Loomis, A.L.; Harvey, E.N.; Hobart, G. Futher observations on the potential rhytms of the cerebral cortex during sleep. Science, 82: 198-200, 1935. 29. Lugaresi, E.; Cirignotto, F.- Hypnogenic paroxysmal dystonia: Epileptic seizure or a new syndrome? Sleep, 4: 129-38, 1981.
30. Lugaresi, E.; Coccagna, G.; Tassinari, C.A.; Ambrose, H.C. Rilievi poligrafici sui fenomeni motori della sindrome delle gambe senza riposo. Riv Neurol, 35: 550-61, 1965.
31. Lugaresi, E.; Tassinari, C.A.; Coccagna, G.; Ambrose, H.C. Particularités cliniques et poligraphiques du syndrome d’impatience des membres inférieurs. Rev Neurol, 113: 54555, 1965.
32. Mahowald, M.W.; Shenck, C.H. REM sleep behavior disorder. In: Kryger, M.H.; Roth, T.; Dement, W.C. (eds.) Principles and Practice of Sleep Medicine. 2nd ed. Philadelphia, Saunders, 1994, p. 574-88.
33. Mattson, R.H.; Pratt, K.L.; Calverley, J.R. Electroencephalograms of epileptics following sleep deprivation. Arch Neurol, 13: 3105, 1965.
34. Melo, A.C.P. Atividade epiléptica e fases do sono no homem. SP, 1989. Tese Doutorado. Escola Paulista de Medicina – São Paulo.
35. Montagna, P.; Lugaresi, E.; Plazzi, G. Motor disorders in sleep. Eur Neurol, 38: 190-7, 1997.
36. Montagna, P.; Provini, F.; Plazzi, G.; Liquori, R.; Lugaresi, E. Propriospinal myoclonus upon relaxation and drowsiness: A case of severe insomnia. Mov Disord, 12: 66-72, 1997.
37. Montplaisir, J.; Laverdier, M.; Saint-Hilaire, J.M. Sleep and focal epilepsy contribution of depth recording. In: Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 301-14.
38. Orr, W.C.; Altschuler, K.Z.; Stahal, M.L. Normal sleep stages. In: Managing Sleep Complaints. Chicago, Year Book Med Publ., 1982, p.13-5.
39. Palm, L.; Anderson, H.; Elmqvist, D., Blennow, G. Daytime sleep tendency before and after discontinuation of antiepileptic drugs in preadolescent children with epilepsy. Epilepsia, 33: 687-91, 1992.
40. Passouant, P.; Cadilhac, J. Décharges épileptiques et sommeil. Epilepsie Mod Probl Pharmaco-Psychiat, 4: 87-104, 1970.
41. Rajna, P.; Veres, J. Correlations between night sleep duration and seizure frequency in temporal lobe epilepsy. Epilepsia, 34: 574-9, 1993.
42. Rechtschaffen, A.; Kales, A. (eds.) A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Los Angeles, UCLA Brain Information Service/Brain Research Institute, 1968.
43. Ross, J.J.; Johnson, L.C.; Walter, R.D. Spike and wave discharges during stages of sleep. Arch Neurol (Chic), 14: 399-407, 1966.
44. Sammaritano, M.; Gigli, G.L.; Gotman, J. Interictal spiking during wakefulness and sleep and the localization of foci in temporal lobe epilepsy. Neurology, 41: 290-7, 1991.
45. Sammaritano, M.R.; Levtova, V.B.; Samson-Dollfus, D.Modifications of sleep architecture in patients with temporal lobe epilepsy. Epilepsia, 35(suppl. 8): 124, 1994.
46. Schenck, C.H.; Mahowald, M.W. Polysomnographic, neurologic, and psychiatric and clinical outcome report on 70 consecutive cases with REM sleep behavior disorder (RBD): sustained clonazepam efficacy in 89,5% of 57 treated patients. Clev Clin J Med, 57: 10-24, 1990.
47. Shouse, M.N.; Silva, A.M.; Sammaritano, M. Circadian rhythm, sleep, and epilepsy. J Clin Neurophysiol, 13: 32-50, 1996.
48. Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 531.
49. Terzano, M.G.; Mancia, D.; Salati, M.R.; Costani, G. et al. The cycling alternating pattern as a physiologic component of normal NREM sleep. Sleep, 8: 137-45, 1985.
50. Veldhuizen,R.; Binnie, C.D.; Beintema, D.J. The effect of sleep deprivation on the EEG in epilepsy. Electroencephal Clin Neurophysiol, 55: 505-12, 1983.
51. Young, G.B.; Blume, W.T.; Wells, G.A.; Merlens, W.C.; Eder, S. Differential aspects of sleep epilepsy. Can J Neurol Sci, 12: 317-20, 1985.
52. Williams, R.L.; Agnew, J.R.; Webb, W.B. Sleep patterns in young adults: an EEG study. Electroencephal Clin Neurophysiol, 17: 376-81, 1964.
2. ASDA. An American Sleep Disorders Association Report. Practice parameters for the indications for polysomnography and related procedures. Sleep, 20: 406-22, 1997.
3. ASDA. National Commission on Sleep Disorders Research. A report of the National Commission on Sleep Disorders Research. Wake up America: a national sleep alert, vol. 2. Washington, DC: U.S. Government Printing Office, 1995: 10.
4. Aserinky, E.; Kleitman, N. Regularly occurring periods of eye motility, and concomitant phenomena, during sleep. Science, 118: 273-4, 1953.
5. Baldy-Moulinier, M. Inter-relationships between sleep and epilepsy. In: Pedley, T.A.; Meldrum, B.I. Recent Advances in Epilepsy. New York, Churchill Livingstone, 1986, p. 37-55.
6. Batini, C.; Criticos, A.; Fressy, J.; Gastaut, H. Nocturnal sleep in patients presenting epilepsy with bisyncronous EEG discharges. Electroencephal Clin Neurophysiol, 14: 957-8, 1962.
7. Batini, C.; Fressy, J.; Naquet, R.; Orfanos, A.; Saint-Laurent, J. Étude du sommeil nocturne chez 20 sujets présentant des décharges irritatives localisées. Rev Neurol (Paris), 108: 1723, 1963.
8. Bazil, C.W.; Walczak, T.S. Effects of sleep stage on epileptic and nonepileptic seizures. Epilepsia, 38: 56-62, 1997.
9. Blum, D.E. New drugs for persons with epilepsy. In: French, J.; Leppik, I.; Dichter, M.A. (eds.) Advances in Neurology. Philadelphia, Lippincott-Raven Publishers, 1998, p. 57-87.
10. Cadilhac, J.; Passouant, P. Influence of various phases of night sleep on the epileptic discharge in man. Electroencephal Clin Neurophysiol, 17: 441-2, 1964.
11. Cadilhac, J. Complex partial seizures and REM sleep. In: Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 315-24.
12. Cadilhac, J.; Vlahovitch, B.; Delnge-Walter, M. Modifications des decharges epiléptiques au cours de la periode des mouvements occulaires. In: Fishgold, H. (ed.) Sommeil de Nuit Normal et Pathologique. Paris, Masson, 1965, p. 279-82.
13. Chesson, A.L.; Ferber, R.A.; Fry, J.M.; Grigg-Damberger, M. et al. An American Sleep Disorders Association review: The indications for polysomnography and related procedures. Sleep, 20: 423-87, 1997.
14. Coleman, R.M.; Pollack, C.P.; Weltzman, E.D. Periodic movements in sleep (nocturnal myoclonus): Relation to sleep disorders. Ann Neurol, 8: 416-21, 1980.
15. Dahl, M.; Dam, M. Sleep and epilepsy. Ann Clin Res, 17: 23542, 1985.
16. Degen, R.; Niedermeier, E. (eds.) Epilepsy, sleep and sleep deprivation. Amsterdam. Elsevier, 1984, p. 368.
17. Delange, M.; Castan, P.; Cadilhac, J.; Passouant, P. Études du sommeil de nuit au cours d’épilepsies centrencephaliques et temporales. Rev Neurol (Paris), 106: 106-13, 1962.
18. Delange, M.; Bouldy-Moulinier, M.; Cadilhac, J.; Passouant, P. Études d’épilepsies avec décharges életroencéphalographiques bilatérales. Influence du sommeil de nuit sur le crises et les décharges. Rev Neurol (Paris), 109: 337-40, 1963.
19. Dement, W.; Kleitman, N. Cyclic variations in EEG during sleep and their relation to eye movements, body motility, and dreaming. EEG Clin. Neurophysiol, 9: 673-90, 1957.
20. Diagnostic Classification Steering Committee, Thorpy, M.J., Chairman. International Classification of Sleep Disorders: diagnostic and coding manual. Rochester, MN: American Sleep Disorders Association, 141-95, 1990.
21. Fish, B.J. Laboratory Techniques in Sleep Medicine – American Academy of Neurology Congress, 1997.
22. Gibberd, F.B.; Bateson, M.C. Sleep epilepsy: its pattern and prognosis. Brit Med J, 2: 403-5, 1974.
23. Guilleminaut, C.; Dement, W.C.; Passouant, P. Narcolepsy. Spectrum Publ. New York, 1976.
24. Johnson, L.C. Effects of anticonvulsant medication on sleep patterns. In: Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 381-94.
25. Kobayashi, K.; Nishibayashi, N.; Ohtsuka, Y.; Oka, E.; Ohtahara, S. Epilepsy with electrical status epilepticus during slow sleep and secondary bilateral syncrony. Epilepsia, 35: 1097-1103, 1994.
26. Koridze, M.G. Effect of petit-mal and generalized seizures on the sleep-wakefulness cycle. Sleep 1978. Fourth European Congress on Sleep Research. Tirgu-Mures. Basel. S. Karger, 1980, 713-6.
27. Lieb, J.P.; Joseph, J.P.; Engel, J.; Walker, J.; Crandall, P.H. Sleep state and seizure foci related to depth spike activity in patients with temporal lobe epilepsy. Electroencephal Clin Neurophysiol, 49: 538-57, 1980.
28. Loomis, A.L.; Harvey, E.N.; Hobart, G. Futher observations on the potential rhytms of the cerebral cortex during sleep. Science, 82: 198-200, 1935. 29. Lugaresi, E.; Cirignotto, F.- Hypnogenic paroxysmal dystonia: Epileptic seizure or a new syndrome? Sleep, 4: 129-38, 1981.
30. Lugaresi, E.; Coccagna, G.; Tassinari, C.A.; Ambrose, H.C. Rilievi poligrafici sui fenomeni motori della sindrome delle gambe senza riposo. Riv Neurol, 35: 550-61, 1965.
31. Lugaresi, E.; Tassinari, C.A.; Coccagna, G.; Ambrose, H.C. Particularités cliniques et poligraphiques du syndrome d’impatience des membres inférieurs. Rev Neurol, 113: 54555, 1965.
32. Mahowald, M.W.; Shenck, C.H. REM sleep behavior disorder. In: Kryger, M.H.; Roth, T.; Dement, W.C. (eds.) Principles and Practice of Sleep Medicine. 2nd ed. Philadelphia, Saunders, 1994, p. 574-88.
33. Mattson, R.H.; Pratt, K.L.; Calverley, J.R. Electroencephalograms of epileptics following sleep deprivation. Arch Neurol, 13: 3105, 1965.
34. Melo, A.C.P. Atividade epiléptica e fases do sono no homem. SP, 1989. Tese Doutorado. Escola Paulista de Medicina – São Paulo.
35. Montagna, P.; Lugaresi, E.; Plazzi, G. Motor disorders in sleep. Eur Neurol, 38: 190-7, 1997.
36. Montagna, P.; Provini, F.; Plazzi, G.; Liquori, R.; Lugaresi, E. Propriospinal myoclonus upon relaxation and drowsiness: A case of severe insomnia. Mov Disord, 12: 66-72, 1997.
37. Montplaisir, J.; Laverdier, M.; Saint-Hilaire, J.M. Sleep and focal epilepsy contribution of depth recording. In: Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 301-14.
38. Orr, W.C.; Altschuler, K.Z.; Stahal, M.L. Normal sleep stages. In: Managing Sleep Complaints. Chicago, Year Book Med Publ., 1982, p.13-5.
39. Palm, L.; Anderson, H.; Elmqvist, D., Blennow, G. Daytime sleep tendency before and after discontinuation of antiepileptic drugs in preadolescent children with epilepsy. Epilepsia, 33: 687-91, 1992.
40. Passouant, P.; Cadilhac, J. Décharges épileptiques et sommeil. Epilepsie Mod Probl Pharmaco-Psychiat, 4: 87-104, 1970.
41. Rajna, P.; Veres, J. Correlations between night sleep duration and seizure frequency in temporal lobe epilepsy. Epilepsia, 34: 574-9, 1993.
42. Rechtschaffen, A.; Kales, A. (eds.) A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Los Angeles, UCLA Brain Information Service/Brain Research Institute, 1968.
43. Ross, J.J.; Johnson, L.C.; Walter, R.D. Spike and wave discharges during stages of sleep. Arch Neurol (Chic), 14: 399-407, 1966.
44. Sammaritano, M.; Gigli, G.L.; Gotman, J. Interictal spiking during wakefulness and sleep and the localization of foci in temporal lobe epilepsy. Neurology, 41: 290-7, 1991.
45. Sammaritano, M.R.; Levtova, V.B.; Samson-Dollfus, D.Modifications of sleep architecture in patients with temporal lobe epilepsy. Epilepsia, 35(suppl. 8): 124, 1994.
46. Schenck, C.H.; Mahowald, M.W. Polysomnographic, neurologic, and psychiatric and clinical outcome report on 70 consecutive cases with REM sleep behavior disorder (RBD): sustained clonazepam efficacy in 89,5% of 57 treated patients. Clev Clin J Med, 57: 10-24, 1990.
47. Shouse, M.N.; Silva, A.M.; Sammaritano, M. Circadian rhythm, sleep, and epilepsy. J Clin Neurophysiol, 13: 32-50, 1996.
48. Sterman, M.B.; Shouse, M.N.; Passouant, P. (eds.) Sleep and Epilepsy. New York, Academic Press, 1982, p. 531.
49. Terzano, M.G.; Mancia, D.; Salati, M.R.; Costani, G. et al. The cycling alternating pattern as a physiologic component of normal NREM sleep. Sleep, 8: 137-45, 1985.
50. Veldhuizen,R.; Binnie, C.D.; Beintema, D.J. The effect of sleep deprivation on the EEG in epilepsy. Electroencephal Clin Neurophysiol, 55: 505-12, 1983.
51. Young, G.B.; Blume, W.T.; Wells, G.A.; Merlens, W.C.; Eder, S. Differential aspects of sleep epilepsy. Can J Neurol Sci, 12: 317-20, 1985.
52. Williams, R.L.; Agnew, J.R.; Webb, W.B. Sleep patterns in young adults: an EEG study. Electroencephal Clin Neurophysiol, 17: 376-81, 1964.
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1998-06-30
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Albuquerque, M. de, Cardeal, J. O., & Campos, C. J. R. de. (1998). Distúrbios do Sono, Epilepsia e Indicações para o Registro Polissonográfico – Revisão. Revista Neurociências, 6(2), 69–74. https://doi.org/10.34024/rnc.1998.v6.10332
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Recebido: 2020-02-18
Publicado: 1998-06-30
Publicado: 1998-06-30
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