The Electroencephalographic Evolution of Electrical Status: Is it Possible to Diagnosis ESES from 180 Seconds of Sleep?

Autor: Habibe Koc Ucar, Ebru Arhan, Kürşad Aydın, Tuğba Hirfanoğlu, Ayşe Serdaroğlu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Neurological Sciences and Neurophysiology, Vol 39, Iss 1, Pp 21-27 (2022)
Druh dokumentu: article
ISSN: 2636-865X
DOI: 10.4103/nsn.nsn_136_21
Popis: Purpose: Electrical status epilepticus during slow sleep (ESES) is an electroclinical syndrome with a specific electroencephalogram (EEG) pattern characterized by epileptic seizures, cognitive decline, and behavioral problems. The EEG pattern is defined by the percentage of the spike-wave index (SWI) in nonrapid eye movement (NREM) sleep without a clear cut-off value. The purpose of this study is to determine the significance of SWI calculation in the first 180 s of the NREM sleep stage. Methods: Patients with tonic seizures and those with SWI levels of 85, with sensitivity of 81.2%, and specificity of 73.3% (+PV: 94.5%, −PV: 40.7%; AUC ± SE = 0.850 ± 0.05; P < 0.001). Conclusion: Evaluating EEG epileptiform activities with objective and reproducible well-defined measurements such as SWP and SF allows for the comparison of different patient groups. We think that a shorter method for diagnosing ESES would potentially provide increased cost savings and patient comfort.
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