수면과 간질

Abstract

'I he relationship of sleep and epolepsy demonstrates the complicated association of brain physioligy and dysfunction, Sleep affects the distribution and frequency of epileptiform discharges in humans and influences the rate of kinding in animals. Epileptic discharges, on the other hand, alter sleep regulation and provoke sleep disruption. Indivduals with epilepsy frequently complain of symptoms suggestive of disfurbed sleep, such as excessive daytime sleepiness, insomnia, or with more subtle complaints such as an increase in seizure frequency. More commonly, these wymptoms indicate an underlying sleep disorder rather than the ettect of epilepsy or medication on sleep. Clinicians must be able to identify and differentiate between potential sleep disorders and sleep dysfunction related to epilepsy and direct therapy to improve the patient's symptoms. 'Ihe reciprocal relationship of sleep and epilepsy and the management of sleep complairts in the patient with epilepsy will be reviewed.