0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Clinical and Research Reports   |    
EEG Under Sleep-Deprived Conditions: Its Usefulness in Psychiatry: Two Case Examples
Osman Özdemir, M.D.; Adem Aydin, M.D.; Aysel Milanlioglu, M.D.; Ekrem Yilmaz, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:97-100. doi:10.1176/appi.neuropsych.13040081
View Author and Article Information

From the Dept. of Psychiatry, Yuzuncu Yil University, Van, Turkey.

Send correspondence to Dr. Osman Özdemir; e-mail: drosmanozdemir@yahoo.com

Copyright © 2014 by the American Psychiatric Association

Received April 08, 2013; Revised May 24, 2013; Accepted May 28, 2013.

Abstract

Epilepsy is a brain disorder characterized by recurrent and unpredictable seizures. It is associated with an increased risk of developing mental disorders. Electroencephalography (EEG) is the most important diagnostic tool for this disease; however, a normal EEG cannot exclude the diagnosis of epileptic seizures, so EEG performed under sleep deprivation was performed in two case examples treated in the psychiatry clinic, in order to prove that sleep deprivation may increase epileptiform discharges.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

FIGURE 1. Case #1: Focal Theta Slow-Wave Paroxysms in the Right Occipital Region

FIGURE 2. Case #2: Generalized Epileptiform Activity in Sleep-Deprived EEG, Characterized by High-Amplitude Spike and Wave Discharges in Anterior Regions of Both Cerebral Hemispheres
+

References

Gandelman-Marton  R;  Theitler  J:  When should a sleep-deprived EEG be performed following a presumed first seizure in adults? Acta Neurol Scand 2011; 124:202–205
[CrossRef] | [PubMed]
 
Fisher  RS;  van Emde Boas  W;  Blume  W  et al:  Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE).  Epilepsia 2005; 46:470–472
[CrossRef] | [PubMed]
 
Beletsky  V;  Mirsattari  SM:  Epilepsy, mental health disorder, or both? Epilepsy Res Treat 2012; e-pub: 163731
 
Marsh  L;  Rao  V:  Psychiatric complications in patients with epilepsy: a review.  Epilepsy Res 2002; 49:11–33
[CrossRef] | [PubMed]
 
Kanner  AM;  Hesdorffer  DC:  Neuropsychiatric complications of epilepsy.  Handb Clin Neurol 2012; 107:461–482
[PubMed]
 
Swinkels  WA;  Kuyk  J;  van Dyck  R  et al:  Psychiatric comorbidity in epilepsy.  Epilepsy Behav 2005; 7:37–50
[CrossRef] | [PubMed]
 
Gilbert  DL;  DeRoos  S;  Bare  MA:  Does sleep or sleep deprivation increase epileptiform discharges in pediatric electroencephalograms? Pediatrics 2004; 114:658–662
[CrossRef] | [PubMed]
 
Butler  C;  Zeman  AZ:  Neurological syndromes which can be mistaken for psychiatric conditions.  J Neurol Neurosurg Psychiatry 2005; 76(Suppl 1):i31–i38
[CrossRef] | [PubMed]
 
Tisher  PW;  Holzer  JC;  Greenberg  M  et al:  Psychiatric presentations of epilepsy.  Harv Rev Psychiatry 1993; 1:219; 8
[CrossRef]
 
Sachdev  P:  Schizophrenia-like psychosis and epilepsy: the status of the association.  Am J Psychiatry 1998; 155:325–336
 
Fountain  NB;  Kim  JS;  Lee  SI:  Sleep deprivation activates epileptiform discharges independent of the activating effects of sleep.  J Clin Neurophysiol 1998; 15:69–75
[CrossRef]
 
McDermott  CM;  LaHoste  GJ;  Chen  C  et al:  Sleep deprivation causes behavioral, synaptic, and membrane excitability alterations in hippocampal neurons.  J Neurosci 2003; 23:9687–9695
 
References Container
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 10.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 7.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 10.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 4.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 4.  >
Topic Collections
Psychiatric News
Read more at Psychiatric News >>
APA Guidelines
PubMed Articles