SPECT/CT imaging of poor sleep quality in people with epilepsy

•The Interictal SPECT/CT positivity rate in PWE was 76.7%.•The SPECT/CT of poor sleep quality in PWE shows localized cerebral hypoperfusion.•There is an association between hypoperfusion in the right parietal lobe and poor sleep quality in PWE. To analyze the characteristics of cerebral blood flow c...

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Veröffentlicht in:Epilepsy & behavior 2024-10, Vol.159, p.110014, Article 110014
Hauptverfasser: Chen, Rong, Li, Mengyun, Tan, Bofei, Li, Sihui, Jia, Xiaodan, Zhang, Qing, Xu, Xianrui, Liu, Qiang, Ma, Zeli, Li, Xuan, Wang, Ying, Tian, Nan, Jin, Yanzi
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Sprache:eng
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Zusammenfassung:•The Interictal SPECT/CT positivity rate in PWE was 76.7%.•The SPECT/CT of poor sleep quality in PWE shows localized cerebral hypoperfusion.•There is an association between hypoperfusion in the right parietal lobe and poor sleep quality in PWE. To analyze the characteristics of cerebral blood flow changes of poor sleep quality in people with epilepsy(PWE). 90 PWE treated in The General Hospital of Ningxia Medical University from December 2021 to September 2023 were divided into poor sleep quality group (PSQG) and good sleep quality group (GSQG) according to the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI), to compare the differences in cerebral perfusion between the two groups of patients, so as to summarize the characteristics of cerebral blood flow changes of poor sleep quality in PWE. The positive rate of interictal single-photon emission computed tomography/computed tomography (SPECT/CT) was 76.7 %(69/90), which showed localized cerebral hypoperfusion. There was no statistical difference between the two groups of PSQG (N=29) and GSQG (N=61) in terms of the positive rate of SPECT/CT, the number of hypoperfusion foci, and the range of hypoperfusion foci. In PSQG and GSQG, 9 patients(31.0 %) and 6 patients(9.8 %) showed hypoperfusion in the right parietal lobe, respectively, and the difference between the two groups was statistically significant (P=0.017). There was no statistical difference the rate of the interictal epileptiform discharges (IEDs) and the brain area of IEDs in electroencephalography(EEG) between the two groups. SPECT/CT of poor sleep quality in PWE demonstrated hypoperfusion in the right parietal lobe.
ISSN:1525-5050
1525-5069
1525-5069
DOI:10.1016/j.yebeh.2024.110014