Sleep apnea as a transient, post-ictal event: Report of a case

Summary A 53-year-old epileptic man had two seizures during polysomnography. Significant sleep apnea followed each (apnea–hypopnea indices (AHIs) of 22 and 20.4 for the 2 h following seizure one and 47.7 for the 53 min following seizure two). Lower hourly AHIs (range: 6.0–14.1) occurred for the rema...

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Bibliographic Details
Published in:Epilepsy research 2009-08, Vol.85 (2), p.325-328
Main Authors: Trotti, Lynn M, Bliwise, Donald L
Format: Article
Language:English
Subjects:
Anticonvulsants - therapeutic use
Central apnea
Electroencephalography
Epilepsy
Epilepsy - complications
Epilepsy - drug therapy
Head Injuries, Closed - complications
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Mixed apnea
Neurology
Obstructive apnea
Polysomnography
Seizures - complications
Seizures - drug therapy
Sleep Apnea Syndromes - etiology
SUDEP
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Summary:Summary A 53-year-old epileptic man had two seizures during polysomnography. Significant sleep apnea followed each (apnea–hypopnea indices (AHIs) of 22 and 20.4 for the 2 h following seizure one and 47.7 for the 53 min following seizure two). Lower hourly AHIs (range: 6.0–14.1) occurred for the remainder of the study. Results were not position-dependent. This suggests that epilepsy can transiently worsen sleep apnea, with implications for treatment.
ISSN:0920-1211
1872-6844
DOI:10.1016/j.eplepsyres.2009.03.028