A sonolência auto-relatada está associada ao desempenho cognitivo na epilepsia do lobo temporal?

Helena Dresch Vascouto, Maria Emília Rodrigues de Oliveira Thais, Camila Moreira Osório, Juliana Ben, Lucia Sukys Claudino, Alexandre Ademar Hoeller, Hans J. Markowitsch, Peter Wolf, Katia Lin, Roger Walz*

*Kontaktforfatter for dette arbejde

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OBJECTIVES: Sleepiness and cognitive impairment are common symptoms observed in patients with epilepsy. We investigate whether self-reported sleepiness is associated with cognitive performance in patients with refractory mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS). Seventy-one consecutive patients with MTLE-HS were evaluated with the Stanford Sleepiness Scale (SSS) before neuropsychological evaluation. Their mean SSS scores were compared with controls. Each cognitive test was compared between patients with (SSS ≥ 3) or without sleepiness (SSS < 3). Imbalances were controlled by regression analysis. Patients reported a significantly higher degree of sleepiness than controls (p < 0.0001). After multiple linear regression analysis, only one test (RAVLT total) remained associated with self-reported sleepiness.

CONCLUSION: Self-reported sleepiness was significantly higher in MTLE-HS patients than controls, but did not affect their cognitive performance. If confirmed in other populations, our results may have implications for decision making about sleepiness screening in neuropsychological settings.

Bidragets oversatte titelIs self-report sleepiness associated with cognitive performance in temporal lobe epilepsy?
TidsskriftArquivos de Neuro-Psiquiatria
Udgave nummer9
Sider (fra-til)575-581
StatusUdgivet - sep. 2018


  • Clinical decision-making
  • Drug resistant epilepsy
  • Neuropsychological tests

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