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KMID : 0378019810240120059
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New Medical Journal
1981 Volume.24 No. 12 p.59 ~ p.68
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A Clinical Observation on Sleep Epilepsy
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Abstract
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The relation of sleep and epilepsy has become the subject of clinical interest as the sleep has been regarded as one of the major factors that induce seizure attacks.
There are some different characteristics in seizure attacks occuring only in sleep stage as compared with that of waking stage or both waking and sleep stages. And that a lot of clinical and experimental investigations have been made on the relations of sleep, electroencephalography, epilepsy and so on.
In order to confirm and clarify the characteristics of sleep epilepsy and to compare with that of another forms of epilepsies (waking, sleep and waking), the author made a clinical investigation on the epileptic patients, consisting of 62 sleep epileptics, 55 waking epileptics and 20 sleep and waking epileptics, who had been treated in Kyung Hee University Hospital.
The clinical recordings were reviewed in terms of the age of on-set, time of seizure, the mode of seizure, -etiological or associated diseases, computerized tomographic findings, electroencephalographic findings and the response to antiepileptic drug treatment. And the following results were obtained.
1. The majority of sleep epileptics have experienced their first seizure attacks before the age of 20 like as the other forms of epilepsies. Male to female ratio was 1.7 : 1 in sleep epileptics and 1.5 : 1 in waking epileptics.
2. Through a day seizure attacks occured frequently around 5A.M., 2A.M., loP.M. in sleep epileptics and around 1P.M., 7P.M., 7A.M. in waking epileptics.
3. The majority of sleep epileptics were classified as generalized seizure clinically like as the other forms of epilepsies. And idiopathic epilepsy occupied 73% of all sleep epileptics.
4. The attacks of sleep epilepsy were caused or associated frequently by infectious diseases, granulomatous lesions, head trauma etc. 12 epileptics had a history of chronic alcoholism.
5. In the computerized tomographic examinations of sleep epileptics, low density lesions were noticed most frequently and then cerebral cortical atrophy and: cerebrab swelling were noticed.
6. In the electroencephalographic examinations of sleep epileptics, focal slow waves were noticed most frequently and then generalized slow waves,, foca:tspikes,. diff..usa.spikes irregular spikes and waves appeared in order.. Among; sleep, epileptias electreenccephalographic;
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