{"id":5524,"date":"2023-05-02T18:14:41","date_gmt":"2023-05-02T18:14:41","guid":{"rendered":"https:\/\/neuropediatoolbox.org\/?p=5524"},"modified":"2026-06-22T16:27:27","modified_gmt":"2026-06-22T16:27:27","slug":"epilepsia-y-sueno","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/fr\/epilepsia-y-sueno\/","title":{"rendered":"\u00c9pilepsie et sommeil."},"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>Relation bidirectionnelle. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\">Le sommeil et l'\u00e9pilepsie ont une relation bidirectionnelle par plusieurs m\u00e9canismes. La perte de sommeil est l'un des principaux d\u00e9clencheurs de l'\u00e9pilepsie. L'\u00e9pilepsie mal contr\u00f4l\u00e9e fragmente le sommeil et en d\u00e9grade la qualit\u00e9. La majorit\u00e9 des m\u00e9dicaments anticonvulsifs provoquent un insomnie ou fragmentent le sommeil. Tout cela contribue aux cons\u00e9quences cognitives de l'\u00e9pilepsie. <img decoding=\"async\" src=\"https:\/\/neuropediatoolkit.org\/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>\u00c9pilepsie et cycle sommeil-veille. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\">Le cerveau a deux situations fonctionnelles : la vigilance et le sommeil. Diff\u00e9rents types d'\u00e9pilepsie se distribuent de mani\u00e8re d\u00e9s\u00e9guli\u00e8re en fonction du moment de la journ\u00e9e. Les phases du sommeil sont moins pro-\u00e9pileptog\u00e8nes plus profond est le sommeil, \u00e0 l'exception du sommeil REM qui est anti-ant\u00e9pileptique.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"656\" height=\"234\" src=\"https:\/\/neuropediatoolkit.org\/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 class=\"wp-block-paragraph\">En g\u00e9n\u00e9ral, la structure du sommeil tendance \u00e0 accumuler la plus grande partie du sommeil profond au premier tiers de la nuit, tandis que la plus grande partie des r\u00e9veils, le sommeil superficiel et le sommeil REM se trouvent dans la deuxi\u00e8me partie de la nuit. C'est pourquoi les crises \u00e9pileptiques tendent \u00e0 accumulerse au deuxi\u00e8me tiers de la nuit, tandis que les parasomnies apparaissent au premier tiers (pendant le sommeil profond). <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"792\" src=\"https:\/\/neuropediatoolkit.org\/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>Syndromes \u00e9pileptiques associ\u00e9s au sommeil. <\/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=\"https:\/\/neuropediatoolkit.org\/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>\u00c9pilepsie h\u00e9morragique li\u00e9e au sommeil (\u00c9pilepsie h\u00e9morragique li\u00e9e au sommeil - EHS) <\/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=\"https:\/\/neuropediatoolkit.org\/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>\u00c9pilepsie Rolandique.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\"><\/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>Syndrome de Panayiotou.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\"><\/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>Diagnostic diff\u00e9rentiel des \u00e9pilepsies du sommeil et des parasomnies. <\/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=\"https:\/\/neuropediatoolkit.org\/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>\u00c9EG avec privation de sommeil. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p class=\"wp-block-paragraph\">Instructions for an EEG with sleep deprivation: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Manque de collaboration du patient.<\/strong> Dans les enfants petits ou pr\u00e9sentant des probl\u00e8mes de comportement, l'impossibilit\u00e9 de garder le sommeil pendant la r\u00e9alisation d'un EEG basal emp\u00eache sa valoration en raison de l'absence d'artefacts de mouvement. En passant par un EEG avec privation de sommeil, il est possible de les faire dormir afin que le registre n'pr\u00e9sente pas d'artefacts. <\/li>\n\n\n\n<li><strong>N\u00e9cessit\u00e9 d'enregistrer une p\u00e9riode de sommeil. <\/strong>Il existe certaines \u00e9pilepsies dans lesquelles un ph\u00e9nom\u00e8ne d'activation se produit pendant certaines phases du sommeil (en particulier le sommeil superficiel et l'interface veille-sommeil), de sorte que l'EEG \u00e0 l'\u00e9veil est g\u00e9n\u00e9ralement normal, mais l'\u00e9pilepsie appara\u00eet lorsque le sommeil est enregistr\u00e9. La privation de sommeil facilite l'enregistrement d'une p\u00e9riode de sommeil et permet d'\u00e9tudier bri\u00e8vement les deux \u00e9tats fonctionnels. En cas de convulsions pendant la nuit ou pendant une sieste, ou aux moments d'interphase (endormissement, r\u00e9veil), il peut \u00eatre pr\u00e9f\u00e9rable de r\u00e9aliser un EEG avec privation de sommeil pour \u00e9valuer l'activit\u00e9 c\u00e9r\u00e9brale pendant le sommeil. <\/li>\n\n\n\n<li><strong>D\u00e9clencher une \u00e9pilepsie sous-jacente. <\/strong>La privation de sommeil, que le patient s'endorme ou non pendant l'intervention, est un d\u00e9clencheur de crises d'\u00e9pilepsie, car elle augmente le risque de crises lorsqu'un repos ad\u00e9quat n'a pas eu lieu. De la m\u00eame mani\u00e8re, cela augmente \u00e9galement la probabilit\u00e9 d\u2019enregistrer des r\u00e9sultats intercritiques significatifs. Apr\u00e8s un EEG de base normal et en cas de suspicion fond\u00e9e d'\u00e9pilepsie, l'EEG avec privation de sommeil augmente la probabilit\u00e9 de diagnostic. <\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"720\" height=\"563\" src=\"https:\/\/neuropediatoolkit.org\/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=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/Information-about-your-Sleep-Deprived-EEG-appointment.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Inscription-de-votre-somme-Derived.TOUT--r\u00e9union.\"><\/object><a id=\"wp-block-file--media-fdee4138-68b5-4374-8ab4-c5fd09e8788e\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/05\/Information-about-your-Sleep-Deprived-EEG-appointment.pdf\">Informations-concernant-votre-rdv-EEG-sommeil-insuffisant<\/a><a href=\"https:\/\/neuropediatoolkit.org\/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\">D\u00e9charge<\/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\/fr\/wp-json\/wp\/v2\/posts\/5524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/comments?post=5524"}],"version-history":[{"count":1,"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/posts\/5524\/revisions"}],"predecessor-version":[{"id":8128,"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/posts\/5524\/revisions\/8128"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/media\/5531"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/media?parent=5524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/categories?post=5524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/fr\/wp-json\/wp\/v2\/tags?post=5524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}