{"id":5524,"date":"2023-05-02T18:14:41","date_gmt":"2023-05-02T18:14:41","guid":{"rendered":"https:\/\/neuropediatoolbox.org\/?p=5524"},"modified":"2023-05-03T07:40:35","modified_gmt":"2023-05-03T07:40:35","slug":"epilepsia-y-sueno","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/epilepsia-y-sueno\/","title":{"rendered":"Epilepsy and sleep."},"content":{"rendered":"<div id=\"wp-block-themeisle-blocks-accordion-b983cfbf\" class=\"wp-block-themeisle-blocks-accordion exclusive\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Relaci\u00f3n bidireccional. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>El sue\u00f1o y la epilepsia tienen una relaci\u00f3n bidireccional por varios mecanismos. La falta de sue\u00f1o es uno de los principales desencadenantes de epilepsia. La epilepsia con mal control fragmenta el sue\u00f1o y deteriora su calidad. La mayor\u00eda de los f\u00e1rmacos antiepil\u00e9pticos producen insomnio o fragmentan el sue\u00f1o. Todo ello contribuye a las consecuencias cognitivas de la epilepsia. <img decoding=\"async\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/image-5-1024x557.png\" alt=\"La imagen tiene un atributo ALT vac\u00edo; su nombre de archivo es image-5-1024x557.png\"><\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Epilepsia y ciclo sue\u00f1o-vigilia. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>El cerebro tiene dos situaciones funcionales, la vigilia y el sue\u00f1o. Distintos tipos de epilepsia se distribuyen de forma desigual en funci\u00f3n del momento del dia. Las fases del sue\u00f1o son menos proepilept\u00f3genas cuanto m\u00e1s profundo es el sue\u00f1o, excepto el sue\u00f1o REM, que es anti antiepil\u00e9ptico.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"656\" height=\"234\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/image-10.png\" alt=\"\" class=\"wp-image-5538\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-10.png 656w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-10-300x107.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-10-18x6.png 18w\" sizes=\"(max-width: 656px) 100vw, 656px\" \/><\/figure>\n\n\n\n<p>En t\u00e9rminos generales la estructura del sue\u00f1o tiende a acumular la mayor parte del sue\u00f1o profundo en la primera mitad de la noche, mientras que la mayor parte de los despertares, sue\u00f1o superficial y el sue\u00f1o REM se encuentran en la segunda parte de la noche. Es por esto que las crisis epil\u00e9pticas tienden a acumularse en la segunda mitad de la noche, mientras que las parasomnias se presentan en la primera mitad (durante el sue\u00f1o profundo). <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"792\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/image-4-1024x792.png\" alt=\"\" class=\"wp-image-5528\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-4-1024x792.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-4-300x232.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-4-768x594.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-4-16x12.png 16w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-4.png 1220w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>S\u00edndromes epil\u00e9pticos relacionados con el sue\u00f1o. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/image-8.png\" alt=\"\" class=\"wp-image-5534\" width=\"842\" height=\"723\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-8.png 540w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-8-300x258.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-8-14x12.png 14w\" sizes=\"(max-width: 842px) 100vw, 842px\" \/><\/figure>\n\n\n\n<div id=\"wp-block-themeisle-blocks-accordion-c40f3fd1\" class=\"wp-block-themeisle-blocks-accordion exclusive\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Epilepsia hipermotora relacionada con el sue\u00f1o (Sleep-related Hypermotor Epilepsy-SHE). <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"696\" height=\"344\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/image-2.png\" alt=\"\" class=\"wp-image-5526\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-2.png 696w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-2-300x148.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-2-18x9.png 18w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/><\/figure>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Epilepsia Rol\u00e1ndica.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>S\u00edndrome de Panayitopoulos.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><\/p>\n<\/div><\/details>\n<\/div>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Diagn\u00f3stico diferencial de las epilepsias del sue\u00f1o y las parasomnias. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"623\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/image-9.png\" alt=\"\" class=\"wp-image-5535\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-9.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-9-300x183.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-9-768x467.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/image-9-18x12.png 18w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>EEG con privaci\u00f3n de sue\u00f1o. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Indicaciones para un EEG con privaci\u00f3n de sue\u00f1o: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Falta de colaboraci\u00f3n del paciente.<\/strong> En ni\u00f1os peque\u00f1os o con problemas de conducta, la imposibilidad para que guarden reposo durante la realizaci\u00f3n de un EEG basal imposibilita su valoraci\u00f3n por la presencia de artefactos de movimiento. A trav\u00e9s de un EEG con privaci\u00f3n de sue\u00f1o se puede facilitar que se queden dormidos para que el registro no presente artefactos. <\/li>\n\n\n\n<li><strong>Necesidad de registrar un tramo de sue\u00f1o. <\/strong>Existen determinadas epilepsias en las cuales se produce un fen\u00f3meno de activaci\u00f3n durante determinadas fases del sue\u00f1o (en particular el sue\u00f1o superficial y la interfase sue\u00f1o-vigilia), de forma que el EEG en vigilia es tipicamente normal, pero la epilepsia aparece cuando se registra el sue\u00f1o. La privaci\u00f3n de sue\u00f1o facilita el registro de un tramo de sue\u00f1o y permite estudiar ambos estados funcionales de forma breve. En caso de crisis durante la noche o durante la siesta, o en los momentos de interfase (quedarse dormido, despertar), puede ser preferible realizar un EEG con privaci\u00f3n de sue\u00f1o para valorar la actividad cerebral durante \u00e9ste. <\/li>\n\n\n\n<li><strong>Activar una epilepsia subyacente. <\/strong>La privaci\u00f3n de sue\u00f1o, independientemente de que el paciente se quede dormido durante el procedimiento, es un desencadenante de crisis epil\u00e9pticas, porque incrementa la posibilidad de que se tengan crisis cuando no se ha producido un descanso adecuado. De la misma forma, tambi\u00e9n incrementa la probabilidad de registrar hallazgos intercr\u00edticos significativos. Tras un EEG basal normal, y ante la sospecha fundada de epilepsia, el EEG con privaci\u00f3n de sue\u00f1o incrementa la probabilidad de diagn\u00f3stico. <\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"720\" height=\"563\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/imagen-1.png\" alt=\"\" class=\"wp-image-5549\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/imagen-1.png 720w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/imagen-1-300x235.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/imagen-1-15x12.png 15w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><\/figure>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/Information-about-your-Sleep-Deprived-EEG-appointment.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of Information-about-your-Sleep-Deprived-EEG-appointment.\"><\/object><a id=\"wp-block-file--media-fdee4138-68b5-4374-8ab4-c5fd09e8788e\" href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/Information-about-your-Sleep-Deprived-EEG-appointment.pdf\">Information-about-your-Sleep-Deprived-EEG-appointment<\/a><a href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/05\/Information-about-your-Sleep-Deprived-EEG-appointment.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-fdee4138-68b5-4374-8ab4-c5fd09e8788e\">Download<\/a><\/div>\n<\/div><\/details>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":5531,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[4,64],"tags":[],"class_list":["post-5524","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-epilepsia","category-sueno","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/5524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=5524"}],"version-history":[{"count":0,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/5524\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/5531"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=5524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=5524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=5524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}