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• W1598819736 abstract "It is well known, that patients with epilepsy suffer from excessive daytime sleepiness, fatigue and insufficient sleep. These problems are often overlooked or referred to epileptic seizures or antiepileptic drugs. It should be noticed, that patients with epilepsy suffer from sleep disorders more often than general population (Bazil 2003). Health outcome of patients with comorbidity of epilepsy and sleep disorders is worse as sleep disorders may aggravate epilepsy. Changes in amount and severity of epileptic seizures may lead to pharmacoresistency of epilepsy in patients with untreated sleep disorders. That is the reason why attention to quality of sleep and daytime vigility in patients with epilepsy should be payed. The cooperation of neurologist, pneumologist, somnologist and psychologist is very important in correct management of patients with epilepsy and sleep disorders. Daytime sleepiness is defined as the inability to stay awake during waking episodes of the day. It results in unintended lapses into drowsiness or sleep. Sleepiness occurs mainly in boring situations. Sometimes it is associated with increase of total amnount of sleep without feeling of restoration. In most cases excessive daytime sleepiness (EDS) is a chronic symptom and it must occur for at least three months prior to diagnosis (ICSD-2, 2005). Excessive daytime sleepiness is often result of self-imposed sleep deprivation espetially in young people. More often it is effect of disturbed nocturnal sleep or misaligned circadian rhytms. It may be side effect of many often-used drugs, for example hypnotics or alcohol. Nocturnal sleep disturbances, which lead to EDS, should be carefully assessed and treated. In several conditions EDS is not an outcome of night-sleep loss and should be considered as primary hypersomnia of central origin. These hypersomnias according to ICSD-2 include narcolepsy with or without cataplexy, recurrent hypersomnia, idiopathic hypersomnia with or without long sleep time and hypersomnias due to different medical and neurological conditions. Narcolepsy with cataplexy is characretized with daytime sleepiness and unwanted episodes of sleep, which occur several times a day. The duration of episodes may vary from a few minutes to more than an hour, patients wake up refreshed. Cataplexy is paroxyzmal, abrupt and reversible loss of muscule tone often elicited with emotional experience. Manifestations of disociated REM sleep (sleep paralysis and hypnagogic halucinations) are also exposed (Chokverty, 1994). Narcolepsy without cataplexy is associated with snoozing in daytime, sleep paralysis and hypnagogic hallucinations may occur. Secondary narcolepsy may be caused by tumors of brain or multiple sclerosis, if" @default.
• W1598819736 created "2016-06-24" @default.
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• W1598819736 date "2011-10-12" @default.
• W1598819736 modified "2023-10-16" @default.
• W1598819736 title "Daytime Sleepiness and Changes of Sleep in Patients with Epilepsy" @default.
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• W1598819736 doi "https://doi.org/10.5772/17758" @default.
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