Dergi Ara >>
Yıl:2013; Cilt: 6; Sayı: 3>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2013;6(3):1-7
Epilepsi ve Uyku
HE Toydemir, Ç Özkara
Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, İstanbul
Epilepsi ve uyku arasındaki ilişki uzun yıllardır bilinmektedir. Uyku, nöbetleri epilepsi sendromuna ve uyku dönemlerine bağlı olarak çeşitli şekillerde etkiler. Epilepsi de nöbetler ve interiktal epileptiform aktivite yoluyla uykuyu etkiler. Antiepileptik ilaçların ya etki mekanizmaları ile uyku üzerine dolaysız etkileri olur ya da nöbet kontrolü sağlayarak olumlu yönde dolaylı etki gösterebilirler. Uyku ile ilişkili epilepsilerin tanısını koymak güç olabilir. Özellikle nokturnal frontal lob epilepsisini NonREM parasomnilerinden ayırmak zordur. Epilepsi ve uyku ilişkisini inceleyen çalışmalar yapılmakta olmasına karşın bu konularla ilgili halen cevaplanmamış sorular bulunmaktadır.
Epilepsy and Sleep
The relationship between epilepsy and sleep has long been recognized. Sleep influences seizures in various ways according to epilepsy syndrome and sleep stage. Also,epilepsy affects sleep through seizures and interictal epileptiform activity. Antiepileptic drugs may have direct negative effects on sleep parameters or they may have indirect positive effects on sleep by providing seizure control. The diagnosis of sleep related epilepsy may be difficult, particularly the distinction between nocturnal frontal lobe epilepsy and Non REM parasomnias. There are many studies on the relationship between epilepsy and sleep but there remain many unanswered questions.

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