Sleep, oscillations, and epilepsy.
REM
interictal
non-REM
ripples
spindle
Journal
Epilepsia
ISSN: 1528-1167
Titre abrégé: Epilepsia
Pays: United States
ID NLM: 2983306R
Informations de publication
Date de publication:
25 May 2023
25 May 2023
Historique:
revised:
27
04
2023
received:
02
02
2023
accepted:
23
05
2023
pmc-release:
25
11
2024
pubmed:
25
5
2023
medline:
25
5
2023
entrez:
25
5
2023
Statut:
aheadofprint
Résumé
Sleep and wake are defined through physiological and behavioral criteria and can be typically separated into non-rapid eye movement (NREM) sleep stages N1, N2, and N3, rapid eye movement (REM) sleep, and wake. Sleep and wake states are not homogenous in time. Their properties vary during the night and day cycle. Given that brain activity changes as a function of NREM, REM, and wake during the night and day cycle, are seizures more likely to occur during NREM, REM, or wake at a specific time? More generally, what is the relationship between sleep-wake cycles and epilepsy? We will review specific examples from clinical data and results from experimental models, focusing on the diversity and heterogeneity of these relationships. We will use a top-down approach, starting with the general architecture of sleep, followed by oscillatory activities, and ending with ionic correlates selected for illustrative purposes, with respect to seizures and interictal spikes. The picture that emerges is that of complexity; sleep disruption and pathological epileptic activities emerge from reorganized circuits. That different circuit alterations can occur across patients and models may explain why sleep alterations and the timing of seizures during the sleep-wake cycle are patient-specific.
Identifiants
pubmed: 37226640
doi: 10.1111/epi.17664
pmc: PMC10674035
mid: NIHMS1918535
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NINDS NIH HHS
ID : R01 NS104368
Pays : United States
Organisme : CIHR
ID : PJT183865
Pays : Canada
Organisme : CIHR
ID : PJT-175056
Pays : Canada
Organisme : NINDS NIH HHS
ID : 5R01NS104368
Pays : United States
Informations de copyright
© 2023 The Authors. Epilepsia published by Wiley Periodicals LLC on behalf of International League Against Epilepsy.
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