polysomnographic aspects of sleep architecture on self-limited epilepsy with centrotemporal spikes: a systematic review and meta-analysis
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Abstract
Self-limited epilepsy with centrotemporal spikes is the most common
paediatric epileptic syndrome, with growing evidence linking it to various degrees and
presentations of neuropsychological dysfunction. The objective of this study is to evaluate
the possible sleep macro and microstructural alterations in children with this diagnosis. A
systematic review of published manuscripts was carried out in Medline, LILACS and Scielo
databases, using the MeSH terms epilepsy, sleep and
polysomnography. From 753 retrieved references, 5 were selected, and
data from macro and, when available, microstructure of sleep were extracted. Meta-analysis
was performed with data from 4 studies using standardized mean difference. Findings were
heterogeneous between studies, being the most frequent macrostructural findings a smaller
proportion and greater latency of REM sleep in two studies and, in meta-analysis, a longer
sleep latency was the most significant finding among epileptic patients. Only one study
evaluated sleep microstructure, suggesting possible alterations in cyclic alternating
pattern in diagnosed children. Studies evaluating macro and microstructure of sleep in
children with self-limited epilepsy with centrotemporal spikes are necessary to a better
understanding of mechanisms of the neuropsychologic disturbances that are frequently seen
in children with this diagnosis.
| Reference Key |
halalsleeppolysomnographic
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|---|---|
| Authors | ;Camila dos Santos Halal;Bernardo Lessa Horta;Magda Lahorgue Nunes |
| Journal | vestnik mgimo-universiteta |
| Year | Year not found |
| DOI |
10.5935/1984-0063.20170028
|
| URL | |
| Keywords |
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