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Applied Neurology said:... Since OSA appears to increase the frequency of seizures, it seems logical that successfully treating OSA would improve seizure control in patients with epilepsy. However, very little research has been done in this area to date, and there is a scarcity of empirical evidence in support of this notion.
One of the few studies to test the effects of OSA treatment in persons with epilepsy was done last year by Malow and colleagues.(6) "We carried out a pilot clinical trial to work out critical design issues before embarking on a definitive phase 3 randomized clinical trial that will answer the following question: Does treatment of coexisting OSA in patients with epilepsy improve seizure frequency, daytime sleepiness, and health-related quality of life?" Malow said.
Forty-five adults with refractory epilepsy (ie, 2 or more seizures per month) were enrolled in the trial if they met study criteria that included a history suggestive of OSA. After polysomnography (PSG) confirmed OSA, study participants were randomly selected to receive treatment with either therapeutic continuous positive airway pressure (CPAP) or sham CPAP. Participants were maintained with stable doses of AEDs, and CPAP adherence was monitored with electronic cards.
Of the 45 participants undergoing PSG, 35 met the criteria for OSA, as defined by an apnea-hypopnea index of 5 or more events per hour. Twenty-two patients were randomly selected to receive therapeutic CPAP (with 19 completers) and 13 to receive sham CPAP (all of whom completed the trial).
An analysis of the outcome data showed that significantly more patients (32%) treated with therapeutic CPAP had a 50% or greater reduction in seizures than those receiving sham CPAP (15%). These results suggest that managing a sleep disorder improves seizure control.
...he should work at McDonalds.
:twocents:
Epilepsy patients really shouldn't go to McDonalds for medical advice. :roflmao: fft:
Dr. Oz said that a 16 in neck circumference for women and 17 in neck circumference for men could have sleep apnea problems as an adult because the extra weight on the neck can cause the airway passage to become blocked when a heavy person sleeps at night.