The Close Relationship Between Apnea, Epilepsy and SUDEP
DOI:
https://doi.org/10.61788/njn.v1i27.02Keywords:
sleep apnea, sleep-related epilepsy, SUDEP, diagnosis, therapy, sultiamAbstract
A review of recent publications about sleep apnea and epilepsy has been shown that the respiratory system plays a crucial role in the development of sudden unexpected death in epilepsy (SUDEP). Sleep apnea can provoke or worsen epilepsy, and treatment of sleep apnea can reduce the number of seizures. The International Antiepileptic League identifies a special group of sleep-related epilepsies (sleep-accentuated epilepsies; sleep-associated epilepsies; epilepsy of awakening), among which, first of all, apnea screening should be carried out. In patients with apnea and epilepsy, the use of medications and therapies that cause or exacerbate apnea attacks should be limited. Apnea therapy should be used in a comprehensive and individualized way, in particular, treatment of obesity, CPAP therapy, sultiam (from 200 mg/day for adult patients with apnea and epilepsy), treatment of ENT pathology, etc. are recommended.
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