Standard procedures for the diagnostic pathway of sleep-related epilepsies and comorbid sleep disorders: an EAN, ESRS and ILAE-Europe consensus review.

作者: L. Nobili , A. Weerd , G. Rubboli , S. Beniczky , C. Derry

DOI: 10.1111/ENE.14468

关键词: Cochrane LibraryIntensive care medicineSleep disorderCognitive behavioral therapyEpilepsy syndromesComorbidityPolysomnographyNeurologyMedicineSystematic review

摘要: BACKGROUND AND PURPOSE Some epilepsy syndromes (sleep-related epilepsies, SREs) have a strong link with sleep. Comorbid sleep disorders are common in patients SRE and can exert negative impact on seizure control quality of life. Our purpose was to define the standard procedures for diagnostic pathway possible (scenario 1) general management comorbidity 2). METHODS The project conducted under auspices European Academy Neurology, Sleep Research Society International League Against Epilepsy Europe. The framework entailed following phases: conception clinical scenarios; literature review; statements regarding procedures. For search stepwise approach starting from systematic reviews primary studies applied. Published were identified National Library Medicine's MEDLINE database Cochrane Library. RESULTS Scenario 1: Despite low evidence, recommendations anamnestic evaluation tools capturing event at home or laboratory provided specific SREs. Scenario 2: Early diagnosis treatment (especially respiratory disorders) likely be beneficial control. CONCLUSIONS Definitive evaluating lacking. Advice is that could help standardizing improving importance identifying treating outcome underlined.

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