Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy?
ABSTRACT 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 co...
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000900575&lng=en&tlng=en |
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| author | 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 |
| author_facet | 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 |
| author_sort | Helena Dresch Vascouto |
| collection | DOAJ |
| description | ABSTRACT 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. |
| format | Article |
| id | doaj-art-46ccbe25d4a94679a2a8e5bf5d5f2af1 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-46ccbe25d4a94679a2a8e5bf5d5f2af12025-08-20T01:56:34ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422776957558110.1590/0004-282x20180089S0004-282X2018000900575Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy?Helena Dresch VascoutoMaria Emília Rodrigues de Oliveira ThaisCamila Moreira OsórioJuliana BenLucia Sukys ClaudinoAlexandre Ademar HoellerHans J. MarkowitschPeter WolfKatia LinRoger WalzABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000900575&lng=en&tlng=enneuropsychological testsdrug resistant epilepsyclinical decision-making |
| spellingShingle | 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 Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy? Arquivos de Neuro-Psiquiatria neuropsychological tests drug resistant epilepsy clinical decision-making |
| title | Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy? |
| title_full | Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy? |
| title_fullStr | Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy? |
| title_full_unstemmed | Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy? |
| title_short | Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy? |
| title_sort | is self report sleepiness associated with cognitive performance in temporal lobe epilepsy |
| topic | neuropsychological tests drug resistant epilepsy clinical decision-making |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000900575&lng=en&tlng=en |
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