Circadian rhythm and profile in patients with juvenile myoclonic epilepsy and temporal lobe epilepsy

Fukuda, Aya; Funari, Mateus P.; Fernandes, Paula T.; Guerreiro, Carlos Mantovani; Li, Li Min

doi:10.1590/0004-282X20140190

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Sumário

Articles • Arq. Neuro-Psiquiatr. 73 (1) • Jan 2015 • https://doi.org/10.1590/0004-282X20140190 copy

Circadian rhythm and profile in patients with juvenile myoclonic epilepsy and temporal lobe epilepsy

Ritmo e perfil circadiano em pacientes com epilepsia mioclônica juvenil e epilepsia de lobo temporal

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

This study intended to compare the circadian rhythm and circadian profile between patients with juvenile myoclonic epilepsy (JME) and patients with temporal lobe epilepsy (TLE).

Method

We enrolled 16 patients with JME and 37 patients with TLE from the Outpatient Clinic of UNICAMP. We applied a questionnaire about sleep-wake cycle and circadian profile.

Results

Fourteen (87%) out of 16 patients with JME, and 22 out of 37 (59%) patients with TLE reported that they would sleep after seizure (p < 0.05). Three (19%) patients with JME, and 17 (46%) reported to be in better state before 10:00 AM (p < 0.05).

Conclusion

There is no clear distinct profile and circadian pattern in patients with JME in comparison to TLE patients. However, our data suggest that most JME patients do not feel in better shape early in the day.

juvenile myoclonic epilepsy; circadian rhythm; temporal lobe epilepsy; sleep

	JME (n = 16)	TLE (n = 37)	Chi-square	p-value
Sleep easily	13 (81%)	26 (70%)	0.69	0.19
With sleep disruptions	7 (44%)	25 (68%)	2.64	0.06
Seizures during sleep	7 (44%)	19 (51%)	0.25	0.20
With sleep symptoms	2 (13%)	7 (19%)	0.32	0.27
Reported waking up tired	6 (38%)	11 (30%)	0.30	0.21
Use to sleep after seizure	14 (88%)	22 (59%)	4.03	0.03

	JME (16)	TLE (37)	Chi-square	p-value
To be in better state before 10:00 AM	3 (19%)	17 (46%)	3.51	0.04
To prefer doing an exam before 10:00 AM	7 (44%)	21 (57%)	0.75	0.16
To prefer to do two hours of heavy physical exercise before 10:00 AM	8 (50%)	23 (62%)	0.68	0.16
To be a morning type	14 (88%)	30 (81%)	0.32	0.27
To have a good physical form between 7:00 AM and 8:00 AM	11 (69%)	29 (78%)	0.55	0.20
To feel sleepy in the first hour after waking up	9 (56%)	12 (32%)	0.64	0.06

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[1] Correspondence:
Li Li Min; Departamento de Neurologia, Universidade Estadual de Campinas; Rua Tessália Vieira de Camargo, 126, Cidade Universitária “Zeferino Vaz”; 13083-887 Campinas SP, Brasil; E-mail: limin@fcm.unicamp.br