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Sleep characteristics of patients with epilepsy with pure sleep-related seizures
E Ekizoglu1, B Baykan, N Bebek
1Epimer Epilepsy Center and Istanbul Faculty of Medicine, Department of Neurology, Istanbul University, Istanbul, Turkey. esmeekizoglu@yahoo.com
Objective:
Our aim was to investigate the clinical features and sleep characteristics of patients with pure sleep-related seizures.
Methods:
Patients with pure sleep epilepsy were prospectively enrolled and their clinical, EEG, and MRI findings investigated. The Medical Outcomes Study Sleep Scale (MOS-SS) was administered after receiving consent.
Results:
Thirty-nine of 1401 consecutive patients (2.7%) with pure sleep-related seizures were included. Of these, 30 (76.9%) had epilepsy of unknown cause and 7 had epilepsy with known structural etiologies. Twenty-seven patients reported less than one seizure per month and 19 had been seizure free for at least 1 year. Thirty-four patients participated in our MOS-SS study. Comparison of sleep problems between those with epilepsy and healthy controls and between the subgroups with frequent and rare seizures did not reveal significant differences.
Conclusion:
Patients with pure sleep seizures had mostly undetermined etiology usually with a good prognosis, and this rare condition did not seem to affect their sleep quality.
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