Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?

Circadian rhythms govern all biological functions. Circadian misalignment has a major impact on health. Late chronotype is a risk factor for circadian misalignment which in turn can affect the control of seizures in epilepsy patients. We compared a group of 87 confirmed epilepsy patients regardless...

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Main Authors: Hallie Kendis, Kelly Baron, Stephan U. Schuele, Bhavita Patel, Hrayr Attarian
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2015/941354
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author Hallie Kendis
Kelly Baron
Stephan U. Schuele
Bhavita Patel
Hrayr Attarian
author_facet Hallie Kendis
Kelly Baron
Stephan U. Schuele
Bhavita Patel
Hrayr Attarian
author_sort Hallie Kendis
collection DOAJ
description Circadian rhythms govern all biological functions. Circadian misalignment has a major impact on health. Late chronotype is a risk factor for circadian misalignment which in turn can affect the control of seizures in epilepsy patients. We compared a group of 87 confirmed epilepsy patients regardless of subtypes with age- and sex-matched healthy controls. We compared generalized epilepsy patients with localization related epilepsy patients and with healthy controls. We found that primary generalized epilepsy patients were 5 times more likely to have a late chronotype than healthy controls. We did not find any significant differences between localization related epilepsy patients and healthy controls or between the overall epilepsy cohort and healthy controls. Generalized epilepsy patients are more likely to be evening types as compared to those with focal epilepsy or subjects without epilepsy. Epilepsy patients do not experience the same age related increase in morningness as do age-matched healthy controls. This is important in regard to timing of AED, identifying and preventing sleep deprivation, and integrating chronotype evaluations and chronotherapy in comprehensive epilepsy care. Further studies, using objective phase markers or the impact of chronotherapy on seizure control, are necessary.
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institution Kabale University
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spelling doaj-art-8de64f0ec76c4e808e210de60c4d77e92025-02-03T01:06:14ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/941354941354Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?Hallie Kendis0Kelly Baron1Stephan U. Schuele2Bhavita Patel3Hrayr Attarian4Northwestern University Feinberg School of Medicine, 710 N Lake Shore Drive, Suite 1111, Chicago, IL 60611, USANorthwestern University Feinberg School of Medicine, 710 N Lake Shore Drive, Suite 1111, Chicago, IL 60611, USANorthwestern University Feinberg School of Medicine, 710 N Lake Shore Drive, Suite 1111, Chicago, IL 60611, USANorthwestern University Feinberg School of Medicine, 710 N Lake Shore Drive, Suite 1111, Chicago, IL 60611, USANorthwestern University Feinberg School of Medicine, 710 N Lake Shore Drive, Suite 1111, Chicago, IL 60611, USACircadian rhythms govern all biological functions. Circadian misalignment has a major impact on health. Late chronotype is a risk factor for circadian misalignment which in turn can affect the control of seizures in epilepsy patients. We compared a group of 87 confirmed epilepsy patients regardless of subtypes with age- and sex-matched healthy controls. We compared generalized epilepsy patients with localization related epilepsy patients and with healthy controls. We found that primary generalized epilepsy patients were 5 times more likely to have a late chronotype than healthy controls. We did not find any significant differences between localization related epilepsy patients and healthy controls or between the overall epilepsy cohort and healthy controls. Generalized epilepsy patients are more likely to be evening types as compared to those with focal epilepsy or subjects without epilepsy. Epilepsy patients do not experience the same age related increase in morningness as do age-matched healthy controls. This is important in regard to timing of AED, identifying and preventing sleep deprivation, and integrating chronotype evaluations and chronotherapy in comprehensive epilepsy care. Further studies, using objective phase markers or the impact of chronotherapy on seizure control, are necessary.http://dx.doi.org/10.1155/2015/941354
spellingShingle Hallie Kendis
Kelly Baron
Stephan U. Schuele
Bhavita Patel
Hrayr Attarian
Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?
Behavioural Neurology
title Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?
title_full Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?
title_fullStr Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?
title_full_unstemmed Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?
title_short Chronotypes in Patients with Epilepsy: Does the Type of Epilepsy Make a Difference?
title_sort chronotypes in patients with epilepsy does the type of epilepsy make a difference
url http://dx.doi.org/10.1155/2015/941354
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AT bhavitapatel chronotypesinpatientswithepilepsydoesthetypeofepilepsymakeadifference
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