Changes in sleep patterns after vagus nerve stimulation, deep brain stimulation or epilepsy surgery : Systematic review of the literature
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2018-02-01Autore/i aziendale
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Neurociencias. Neurología
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ISSN
1059-1311 / 1532-2688 (Electrónico)
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4-8
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Purpose: Perform a systematic review of the literature on the effects of vagus nerve stimulation (VNS), deep brain stimulation (DBS) and epilepsy surgery in subjective and objective sleep parameters. Methods: We performed a literature search in the main medical databases: Medline, Embase, Cochrane,DARE and LILACS, looking for studies that evaluated the effects of VNS, DBS or epilepsy surgery on sleepparameters. In all, 36 studies, coming from 11 countries, including reviews, cohort studies, case series andcase reports were included. Results: VNS induces sleep apnoea dependent of the stimulation variables. This condition can be revertedmodifying these settings. Surgical procedures for epilepsy cause an improvement in objective andsubjective sleep parameters that depend on the success of the procedure evaluated through ictalfrequency control. There is evidence that non-pharmacologic treatment of epilepsy has different effectson sleep patterns. Conclusion: It is advisable to include objective and subjective sleep parameters in the initial evaluationand follow-up of patients considered for invasive procedures for epilepsy control, especially with VNSdue to the risk of sleep apnoea. More high quality studies are needed.
Keywords
EpilepsySleep
Sleep apnoea syndromes
Deep brain stimulation
Vagus nerve stimulation
Anterior temporal lobectomy
Editoriale
Seizure; Volumen 56, (2018)
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