Abstract

Epilepsies with seizures during sleep only represent until 40% of all forms of epilepsy. There are not specific evidences of Literature about a compromission of quality of life (QoL) in morpheic epilepsies versus diurnal ones. If we can expect a lower impact of these forms on some aspects of daily life (personal and social interaction), on the other side we can suppose a bigger impact on sleep fears (i.e. death during sleep) and conjugal serenity. In this paper we examinated 68 patients, divided in 5 groups: 3 consisting of epileptic patients (diurnal, morpheic and with nocturnal frontal lobe epilepsy -NFLE-) and 2 control groups, consisting of patients with non-epileptic sleep disorders (arousal-parasomnias and REM behaviour disorders). Our outcomes exclude a protective effect towards Qol by morpheic nature of seizures, and document that patients with morpheic seizures are subject to a deterioration of Qol as much as diurnal ones. This is true in particular for NFLE, because of the relationship between frontal lobe and amigdala for the control of negative emotions, as neurobiological data suggest.

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