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Query: UMLS:C0036572 (
seizures
)
80,221
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Consequent upon previous studies on the effect of sleep on spike-wave discharges in absence
seizures
, photically sensitive spike-wave paroxysms were studied in 4 children with absence
seizures
, including identical twins, during various sleep stages. Sensitivity to stimuli at all frequencies and intensities was minimal during slow-wave sleep (stages 3 and 4), although photic driving could still be discerned. Trains of paired stimuli were effective in triggering polyspike responses during slow-wave sleep at frequencies of 6-8 c/sec and at flash intervals of 50 msec. The morphology of the discharges was similar to that seen in spontaneous discharges in deep sleep. The discharges, however, were stimulus-bound and there were no poststimulation spike-wave afterdischarges, which characterized wakefulness and
REM
sleep. The findings imply that, in deep sleep, while the cortical response to photic stimulation via the specific pathway system remains intact, the cortex appears to be functionally disconnected from those subcortical mechanisms essential for afterdischarge perpetuation.
...
PMID:Photic sensitivity of children with absence seizures in slow wave sleep. 5 41
Sixty polygraphic all-night sleep tracings were obtained, including 40 from 20 patients with epileptic attacks occurring during sleep (during treatment with anticonvulsants and after their withdrawal), and 10 tracings in each of two groups serving as controls: a group of patients with
seizures
occurring in the waking state and a group of healthy controls. A significant difference was observed in the sleep pattern of the patients with nocturnal attacks (who were good sleepers and received no anticonvulsants) and healthy controls. These patients had a significantly higher proportion of III + IV stages of the slow-wave sleep phase. Besides that, in all epileptics disruption and lability of the
REM
phase was observed, without a statistically significant reduction in the proportion of its duration during the whole sleep. Clinical
seizures
developed usually in the SW phase but one
seizure
occurred during the
REM
phase. The effects of anticonvulsants on sleep EEG tracings require further investigation. A significant difference was observed in the morphology and dynamics of EEG changes in both groups of epileptics. The patients with nocturnal attacks had much more frequently normal tracings in the waking state. During sleep focal changes were often found.
Seizure
activity of the spike-wave type was less frequent than in patients with waking attacks and the dynamics of this activity were different. It seems possible that the pathways of spread of epileptic discharges are different in these two groups of epileptics.
...
PMID:Investigations on the mechanism of nocturnal epilepsy. 5 72
EEG patterns recorded in the waking state and during sleep were studied in 6 rhesus monkeys inoculated with a strain of Kuru previously passaged in rhesus monkey (ENAGE strain, rhesus L6 56). The onset of the disease was confirmed by the appearance of various clinical signs in 4 monkeys 15 months after inoculation. At the 16th month, the first EEG modifications appeared during sleep, which became lighter. The waking EEG was abnormal during the mature phase of the disease; it was characterized by slow anomalies and scattered spikes. The sleep EEG still presented 3 stages of Slow Wave Sleep which, however, were totally unlike the physiological stages.
REM
sleep rapidly disappeared, as did the cyclic organization pattern. Irritative phenomena became very significant and, in particular, very frequent 'tonic
seizures
' were observed. Experimental Kuru thus appears, in the rhesus monkey, as an epileptogenic encephalopathy, which is differentiated from both the human disease and the experimental disease in the chimpanzee.
...
PMID:Experimental kuru in the rhesus monkey: a study of EEG modifications in the waking state and during sleep. 8 63
Full-term newborns with
seizures
exhibit EEG patterns that appear reliable in predicting neurological outcome in almost 75% of the cases in a prospective investigation. These patterns are unreliable for over 25% of infants with
seizures
and even more so for term and pre-term babies with other complications. Observations that such newborns often show maturational delay in various physiological and/or behavioral parameters, raises the issue of whether indices other than specific EEG patterns might prove reliable in predicting prognosis. As a prerequisite for testing such an hypothesis in prospective investigations of term and pre-term babies with 'risk' factors other than
seizures
, it appears necessary to obtain quantification of these parameters in normals. Hence a longitudinal study was designed to obtain simultaneously 3 parameters in a control group of newborns born after 30-32 weeks of gestational age, followed with serial polygraphic recordings at weekly intervals until a conceptional age of 43 weeks. The selected parameters were purposefully restricted to three that can be obtained and measured easily in routine recordings without need for more complex instrumentation and analysis. These were: the percentage of interhemispheric synchrony between bursts of 'trace alternant'; the number of spindle-delta complexes ('brushes') during 5 min of
REM
and NREM sleep; and the concordance between various parameters during the same 5 min epochs. The range of these indices was thus established in a group of normal prematures followed prospectively. Establishing such normative data will allow greater inter-study reliability, and form the basis for other prospective studies of infants 'at risk' to investigate whether those that lag behind the norm in these indices when followed serially during the newborn period differ prognostically from those who recover and reach expected norms for conceptional age.
...
PMID:Quantified electrographic scales on 10 pre-term healthy newborns followed up to 40-43 weeks of conceptional age by serial polygraphic recordings. 8 42
A mildly dyslexic boy of 11 years, with no neurological deficit or history of epileptic
seizures
, had marked hypersomnia for 2 years, which was most pronounced in the morning hours. Repeated EEG studies and power spectral analysis revealed simultaneous posterior alpha rhythm and sleep patterns (spindles, vertex waves, K complexes) over vertex and frontocentral regions, while the patient was behaviorally awake. Bilateral synchronous anterior spikes were frequently noted in association with sleep patterns. A polysomnogram over 24 h confirmed excessive sleep, night and day (especially morning hours) and there was evidence of a large
REM
sleep percentage (on EMG and EOG basis) while the EEG had predominantly non-
REM
sleep patterns. Special neurotransmitter studies were performed in view of a presumed disturbance affecting the neurobiochemical sleep regulation. These studies were based on CSF metabolite levels and provided evidence for a high serotonin metabolite (5HIAA) level. It is tempting to hypothesize that the biochemical disturbance has led to encroachment of non-
REM
sleep patterns on both wakefulness and
REM
sleep. Further discussion deals with the bilateral-synchronous spike activity and its relationship to arousal patterns in sleep.
...
PMID:Hypersomnia with simultaneous waking and sleep patterns in the electroencephalogram. A case report with neurotransmitter studies. 9 32
1. Selective deprivation of slow-wave and paradoxical sleep was performed in 10 children with pycnoleptic attacks (8 of them before anticonvulsive treatment, 2 of them while under medication). The frequency and duration of petit mal attacks were intraindividually compared during night sleep and after waking for a 5-h period. 2. After deprivation of slow-wave sleep with reduction of EEG stages 3 and 4 to about one-third of the baseline but normal duration of sleep, petit mal attacks are more frequent and long-lasting than after normal sleep or selective deprivation of
REM
sleep. 3. Although total sleep time is significantly diminished after selective deprivation of paradoxical sleep the frequency of attacks during the waking state was lower than after normal sleep and deprivation of slow wave sleep. This observation shows a clear i nfluence of the quality of sleep on the frequency of epileptic attacks. 4. During sleep petit mal
seizures
were mainly found during stages 2 and paradoxical sleep. Single spike and irregular spike were discharges, however, occurred more frequently during slow-wave sleep. Their frequency was not significantly different in the deprivation conditions. 5. In contrast to experimental data in animals,
REM
deprivation is less provoking to epileptic attacks outside sleep than deprivation of stages 3 and 4 sleep. Therefore a sufficient amount of slow-wave should be preserved for pycnoleptic children.
...
PMID:Selective deprivation of sleep in pycnoleptic children. Effects of deprivation of slow-wave and REM sleep on the frequency and duration of petit mal attacks. 19 Sep 77
Dreaming may be altered by cerebral hemispheric disease. A woman who sustained a probable left posterior cerebral artery thrombosis, with right homonymous hemianopsia and alexia, had virtual cessation of dreaming for at least 9 months. Four individuals with temporal lobe epilepsy experienced recurrent painful (frightening) dreams, which in two patients showed features identical to
seizures
. Sleep recordings showed abnormalities in all four, including rhythmic temporal epileptiform activity during
REM
sleep. Lesions in parieto-occipital loci may interfere with production of the visual imagery required for dreaming (negative symptom in the Jacksonian sense) while epileptic activity in temporal loci may produce painful repetitive dream imagery (positive symptom).
...
PMID:Effect of certain cerebral hemispheric diseases on dreaming. 21 57
Clinical, electrical and biochemical studies in an eight years old boy with movement-induced
seizures
were reported. The attack was usually triggered by sudden initiation of movement, but rarely occurred without any apparent movement. Repeated jumping provoked attacks constantly, which was recorded cinematographically. No abnormality was found either in ictal or interictal EEGs. Haloperidol aggravated the condition, but 1-DOPA had no effect, while DPH (100 mg/day) controlled attacks perfectly with the serum DPH concentration of just 2.0 ug/dl. In overnight sleep analysis, sleep rhythms and characters of
REM
sleep were not differed significantly from the standard. After DPH therapy, stabilization of sleep in general was noticed; that is, total sleep time prolonged, number of sleep stages decreased and interrupting awakening disappeared. Probenecid loading test revealed that 5-HIAA was normal, HVA high, and large amount of octopamine was detected in CSF.
...
PMID:Overnight sleep EEG and cerebrospinal fluid monoamines in seizures induced by movement. 22 8
The influence of hormone therapy on sleep states, pulse, respiration and
seizure
activities of infantile spasms was examined by means of overnight sleep polygraphy. Also the correlation between the changes of these parameters and the prognosis was investigated. The results were as follows: 1) In all cases, the awake time of TIB during hormone therapy was longer than before hormone therapy. The reduction of
REM
sleep time of SPT and lowering of
REM
density were remarkable during hormone therapy in cases with delayed psychomotor development as compared with cases with a considerable degree of psychomotor development. During hormone therapy, the NREM sleep time of SPT was shortened in cases with ACTH therapy, and prolonged in case with hydrocortisone therapy. 2) During hormone therapy, the pulse rate increased significantly in cases with a considerable degree of psychomotor development, but decreased significantly in cases with delayed psychomotor development. The change of respiratory rate by hormone therapy was not remarkable in all cases. 3) In cases with hypsarhythmic EEG records, the number of spikes decreased drastically by hormone therapy. In the case with EEG record of focal spikes, the number of spikes increased by hormone therapy. From the results mentioned above, the mechanism for effectiveness of hormone therapy and correlation between the administration of hormone therapy and prognosis was discussed.
...
PMID:Overnight polygraphic studies of infantile spasms--influence of hormone therapy on sleep states, pulse, respiration and seizure activities. 23 Jan 34
The subjects of this study consisted of 17 epileptic patients with clinical
seizures
during all-night sleep recording (the
seizure
group) and another 17 epileptic patients without clinical
seizures
(the control group). The results obtained were as follows: 1) The 50-90% out of total clinical
seizures
were induced in non-
REM
sleep, while a few clinical
seizures
were induced in
REM
sleep. The number of clinical
seizures
in sleep stage of higher activity level increased as the incidence of clinical
seizure
during all-night grew. 2) In the
seizure
group
REM
sleep could not be detectable during all-night in five cases out of 17 cases, while we could not find cases lacking
REM
sleep in the control group. This difference between two subject groups was statistically significant (P less than 0.025). 3) As to focal spike group, the spike discharge incidence of total sleeping time and of each sleep stage was higher respectively in the
seizure
group than that in the control group, and particularly in St.1, St.2 and
REM
sleep the figure of the discharge incidence was found significantly higher in the
seizure
group than that in the control group (P less than 0.05). We discussed on above-mentioned results, and we emphasized particularly that
REM
-sleep suppresses clinical
seizures
, although non-
REM
sleep induces clinical
seizures
.
...
PMID:Polygraphic study on the clinical seizures induced during nocturnal sleep. 41 51
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