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The relationship between sleep and epilepsy: the effect on cognitive functioning in children
Pasquale Parisi1, Oliviero Bruni, Maria Pia Villa
1Child Neurology and Sleep Paediatric Disorders Centre, II Faculty of Medicine, Sapienza University, Sant'Andrea Hospital, Rome, Italy. pasquale.parisi@uniroma1.it
Epilepsy and poor sleep quality negatively impact cognitive function in children. Optimizing sleep and seizure control is crucial for better long-term outcomes.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Cognitive Neuroscience
Background:
- Epilepsy in children is frequently associated with cognitive impairments.
- Sleep disturbances are common in children with epilepsy and may exacerbate cognitive deficits.
Purpose of the Study:
- To investigate the pathophysiological links between epilepsy, sleep (macro- and microstructure), sleep disorders, and cognitive functioning in children.
- To clarify the interplay of sleep and epilepsy on cognitive outcomes in pediatric epilepsy.
Main Methods:
- A comprehensive literature search was conducted using PubMed.
- Studies involving children (0-18 years) or mixed populations with a significant pediatric cohort were included.
- No language restrictions were applied.
Main Results:
- Learning impairments in children with epilepsy are multifactorial, including etiology, electroencephalographic (EEG) discharges, and seizure characteristics.
- EEG discharges can impact cognition and sleep independently of seizures.
- Sleep deprivation and disruption negatively affect memory-learning processes and can influence EEG discharges and seizure activity.
Conclusions:
- Improving long-term cognitive-behavioral prognosis in children with epilepsy necessitates both effective seizure control and enhanced sleep quality.
- Antiepileptic drug selection should prioritize agents with minimal disruption to sleep architecture, particularly during non-rapid eye movement sleep.
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