Sleep structure in patients with psychogenic nonepileptic seizures

被引:26
作者
Bazil, CW
Legros, B
Kenny, E
机构
[1] Columbia Univ, Neurol Inst, Comprehens Epilepsy Ctr, New York, NY 10032 USA
[2] Hop Erasme, Serv Neurol, Brussels, Belgium
关键词
epilepsy; psychogenic nonepileptic seizures; pseudoseizures; sleep; polysomnography; REM sleep; depression;
D O I
10.1016/S1525-5050(03)00120-3
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Psychogenic nonepileptic seizures (PNES) are a significant public health problem, occurring in perhaps 25% of patients admitted to epilepsy monitoring units. Additional distinguishing characteristics for these patients would be helpful from both a clinical and a scientific standpoint. This study examines sleep structure by polysomnography in patients with PNES compared with patients with epileptic seizures (ES). ES and PNES were verified by video-EEG monitoring. All patients with PNES were evaluated by a psychiatrist. Eight female patients with PNES were compared with 10 female ES patients in the same age group. Percentage REM sleep was significantly greater for women with PNES (23+/-1%) than for those with ES (18+/-1%). There were no differences in other sleep stages, total sleep time, or sleep efficiency. REM latency was less in PNES patients although not significantly. The study suggests that patients with PNES have a sleep architecture similar to that found in major depression, known to be associated with increased REM sleep. (C) 2003 Elsevier Science (USA). All rights reserved.
引用
收藏
页码:395 / 398
页数:4
相关论文
共 30 条
[1]  
Agnew H W Jr, 1966, Psychophysiology, V2, P263, DOI 10.1111/j.1469-8986.1966.tb02650.x
[2]   PSYCHIATRIC CLASSIFICATION OF NONCONVERSION NONEPILEPTIC SEIZURES [J].
ALPER, K ;
DEVINSKY, O ;
PERRINE, K ;
VAZQUEZ, B ;
LUCIANO, D .
ARCHIVES OF NEUROLOGY, 1995, 52 (02) :199-201
[3]   NONEPILEPTIC SEIZURES AND CHILDHOOD SEXUAL AND PHYSICAL ABUSE [J].
ALPER, K ;
DEVINSKY, O ;
PERRINE, K ;
VAZQUEZ, B ;
LUCIANO, D .
NEUROLOGY, 1993, 43 (10) :1950-1953
[4]  
BALDYMOULINIER M, 1982, SLEEP EPILEPSY, P347
[5]   Reduction of rapid eye movement sleep by diurnal and nocturnal seizures in temporal lobe epilepsy [J].
Bazil, CW ;
Castro, LHM ;
Walczak, TS .
ARCHIVES OF NEUROLOGY, 2000, 57 (03) :363-368
[6]  
BAZIL CW, IN PRESS J CNS
[7]   An estimate of the prevalence of psychogenic non-epileptic seizures [J].
Benbadis, SR ;
Hauser, WA .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2000, 9 (04) :280-281
[8]  
BENCA RM, 1992, ARCH GEN PSYCHIAT, V49, P651
[9]  
BERGER M, 1982, BIOL PSYCHIAT, V17, P1217
[10]  
Bowman ES, 1996, AM J PSYCHIAT, V153, P57