Modulation of the interictal epileptiform EEG activity during sleep: from oscillations to complex dynamics

Neurophysiol Clin. 1991 Mar;21(1):1-14. doi: 10.1016/s0987-7053(05)80349-1.

Abstract

Polygraphic sleep recordings (EEG, EMG, and EOG) were performed in two groups of epileptic subjects, six with fragile-X syndrome and six with symptomatic epilepsy. Recordings were visually scored for sleep stages and number of spikes/min. Subjects with fragile-X syndrome showed a well defined pattern of production of interictal epileptiform activity with the lowest values during REM sleep; symptomatic epileptic subjects showed less defined and more variable spike/min diagrams. The spectral analysis of the outline of such diagrams confirmed these differences showing shorter periodicities (80-100 min) in the fragile-X group compared to those of the symptomatic group (160-220 min). Finally, a model with multiple feedback circuits is proposed in order to explain the different patterns observed.

MeSH terms

  • Activity Cycles / physiology
  • Adolescent
  • Child
  • Circadian Rhythm / physiology
  • Electroencephalography*
  • Electromyography
  • Epilepsy / etiology
  • Epilepsy / physiopathology*
  • Female
  • Fragile X Syndrome / complications
  • Fragile X Syndrome / physiopathology
  • Humans
  • Male
  • Sleep / physiology*
  • Time Factors