The Effects of Intermittent Epileptiform Discharge on Sleep Duration in Patients with Temporal Lobe Epilepsy
Objective To investigate the impact of epileptiform discharge on sleep duration and structure in patients with temporal lobe epilepsy through video EEG(VEEG)monitoring.Methods A total of 40 patients with temporal lobe epilepsy who were hospitalized in Hospital for video EEG monitoring were selected and divided into two groups according to whether or not they had epileptiform discharge during night sleep.The total sleep duration(TST),duration and proportion of each sleep stage were compared between the two groups.Results The TST of the group with discharge was shorter than that of the group without discharge,and the difference was statistically significant(P<0.05).The total duration of REM in the discharge group was significantly shorter than that in the non discharge group(P<0.05).The proportion of REM to TST in the discharge group was lower than that in the non discharge group,and the difference was statistically significant(P<0.05).The proportion of NREM stage and N1 stage in the discharge group was higher than that in the non discharge group,and the difference was statistically significant(P<0.05).Conclusion Epilepsy like discharges may affect the sleep duration of patients with TLE.In clinical practice,close attention should be paid to the sleep status of TLE patients,and epileptic like discharges should be identified and treated in a timely manner to improve their sleep quality.