Obstructive sleep apnea in patients with epilepsy: does treatment affect seizure control?

2003 ◽  
Vol 4 (6) ◽  
pp. 483-484 ◽  
Author(s):  
Nancy Foldvary-Schaefer
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Seizure Control ◽  
Obstructive Sleep ◽  
Patients With Epilepsy

scholarly journals Electronic health record cue identifies epilepsy patients at risk for obstructive sleep apnea

2018 ◽  
Vol 8 (6) ◽  
pp. 468-471 ◽  
Author(s):  
Martha A. Mulvey ◽  
Aravindhan Veerapandiyan ◽  
David A. Marks ◽  
Xue Ming
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Electronic Health Record ◽  
Seizure Control ◽  
Health Record ◽  
Obstructive Sleep ◽  
Patients At Risk ◽  
Patients With Epilepsy

BackgroundPrior studies have reported that patients with epilepsy have a higher prevalence of obstructive sleep apnea (OSA) that contributes to poor seizure control. Detection and treatment of OSA can improve seizure control in some patients with epilepsy. In this study, we sought to develop, implement, and evaluate the effectiveness of an electronic health record (EHR) alert to screen for OSA in patients with epilepsy.MethodsA 3-month retrospective chart review was conducted of all patients with epilepsy >18 years of age who were evaluated in our epilepsy clinics prior to the intervention. An assessment for obstructive sleep apnea (AOSA) consisting of 12 recognized risk factors for OSA was subsequently developed and embedded in the EHR. The AOSA was utilized for a 3-month period. Patients identified with 2 or more risk factors were referred for polysomnography. A comparison was made to determine if there was a difference in the number of patients at risk for OSA detected and referred for polysomnography with and without an EHR alert to screen for OSA.ResultsThere was a significant increase in OSA patient recognition. Prior to the EHR alert, 25/346 (7.23%) patients with epilepsy were referred for a polysomnography. Postintervention, 405/414 patients were screened using an EHR alert for AOSA and 134/405 (33.1%) were referred for polysomnography (p < 0.001).ConclusionAn intervention with AOSA cued in the EHR demonstrated markedly improved identification of epilepsy patients at risk for OSA and referral for polysomnography.

scholarly journals Effect of Positive Airway Pressure Therapy on Seizure Control in Patients with Epilepsy and Obstructive Sleep Apnea

US Neurology ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 25
Author(s):  
Thapanee Somboon
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Airway Pressure ◽  
Seizure Control ◽  
Positive Airway Pressure ◽  
Washington Dc ◽  
Pressure Therapy ◽  
Expert Interview ◽  
Obstructive Sleep ◽  
Patients With Epilepsy

The American Epilepsy Society (AES) annual meeting took place in Washington DC in December 2017. In an expert interview, Thapanee Somboon discusses important results of an investigation she presented at the meeting into the effect of positive airway pressure (PAP) therapy on obstructive sleep apnea (OSA) in a retrospective series of patients with epilepsy.1

scholarly journals Frequency of Obstructive Sleep Apnea Syndrome Among Patients with Epilepsy Attending a Tertiary Neurology Clinic

2015 ◽  
Vol 30 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Mohammed Al-Abri ◽  
Abdullah Al-Asmi ◽  
Aisha Al-Shukairi ◽  
Arwa Al-Qanoobi ◽  
Nandhagopal Rmachandiran ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Obstructive Sleep ◽  
Neurology Clinic ◽  
Apnea Syndrome ◽  
Patients With Epilepsy

Metabolic syndrome and obstructive sleep apnea syndrome among patients with epilepsy on monotherapy

2020 ◽  
Vol 111 ◽  
pp. 107296
Author(s):  
Elif Söylemez ◽  
Oya Öztürk ◽  
Sezin Alpaydın Baslo ◽  
Zeynep Ezgi Balçık ◽  
Dilek Ataklı
Keyword(s):  
Metabolic Syndrome ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
Patients With Epilepsy

scholarly journals Risk and determinant factors for obstructive sleep apnea in patients with epilepsy

2011 ◽  
Vol 69 (6) ◽  
pp. 924-927 ◽  
Author(s):  
Monique Venturi ◽  
Gisele Schenkel Leite Moura Neves ◽  
Igor Monteiro Pontes ◽  
Andre Valois ◽  
Marleide da Mota Gomes
Keyword(s):  
Body Mass Index ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Demographic Characteristics ◽  
Berlin Questionnaire ◽  
Questionnaire Data ◽  
Obstructive Sleep ◽  
Patients With Epilepsy ◽  
High Bmi

OBJECTIVE: To evaluate the prevalence of risk of having obstructive sleep apnea (OSA) and its determinants in patients with epilepsy (PE). METHOD: 98 adult PE were prospectively screened for risk of OSA by Berlin questionnaire. Data was also collected about excessive daytime sleepiness, depression, anxiety, clinical and socio-demographic characteristics. RESULTS: The PE main characteristics: 59-men/39-women, mean age=39.97, SD=12.3, range 18-66. The prevalence of the risk of OSA was 55.1% (CI 95%, 0.45-0.65). The high risk for OSA was related with body mass index (BMI) (p=0.000), neck circumference (NC) (p=0.000), arterial hypertension (AH) (p=0.000), and anxiety (p=0.006), without relationship with number of seizures, number of antiepileptic drugs, age or depression. The NC was statistically significant regarding risk of OSA, mainly in men. CONCLUSION: We found a high risk of OSA in this sample. The main implicated measures were the large NC, high BMI and anxiety. The anthropometric variables were more relevant than those related to epilepsy itself and similar to those of the general population.

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