TY - JOUR
T1 - Sleep-related hypermotor epilepsy and non-rapid eye movement parasomnias
T2 - Differences in the periodic and aperiodic component of the electroencephalographic power spectra
AU - Pani, Sara M.
AU - Fraschini, Matteo
AU - Figorilli, Michela
AU - Tamburrino, Ludovica
AU - Ferri, Raffaele
AU - Puligheddu, Monica
N1 - Funding Information:
Sara Maria Pani gratefully acknowledges the Sardinian Regional Government for the financial support of her PhD scholarship (P.O.R. Sardegna F.S.E. ‐ Operational Programme of the Autonomous Region of Sardinia, European Social Fund 2014‐2020 ‐ Axis III Education and Training, Thematic goal 10, Investment Priority 10ii, Specific goal 10.5.
Publisher Copyright:
© 2021 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society
PY - 2021
Y1 - 2021
N2 - Over the last two decades, our understanding of clinical and pathophysiological aspects of sleep-related epileptic and non-epileptic paroxysmal behaviours has improved considerably, although it is far from complete. Indeed, even if many core characteristics of sleep-related hypermotor epilepsy and non-rapid eye movement parasomnias have been clarified, some crucial points remain controversial, and the overlap of the behavioural patterns between these disorders represents a diagnostic challenge. In this work, we focused on segments of multichannel sleep electroencephalogram free from clinical episodes, from two groups of subjects affected by sleep-related hypermotor epilepsy (N = 15) and non-rapid eye movement parasomnias (N = 16), respectively. We examined sleep stages N2 and N3 of the first part of the night (cycles 1 and 2), and assessed the existence of differences in the periodic and aperiodic components of the electroencephalogram power spectra between the two groups, using the Fitting Oscillations & One Over f (FOOOF) toolbox. A significant difference in the gamma frequency band was found, with an increased relative power in sleep-related hypermotor epilepsy subjects, during both N2 (p <.001) and N3 (p <.001), and a significant higher slope of the aperiodic component in non-rapid eye movement parasomnias, compared with sleep-related hypermotor epilepsy, during N3 (p =.012). We suggest that the relative power of the gamma band and the slope extracted from the aperiodic component of the electroencephalogram signal may be helpful to characterize differences between subjects affected by non-rapid eye movement parasomnias and those affected by sleep-related hypermotor epilepsy.
AB - Over the last two decades, our understanding of clinical and pathophysiological aspects of sleep-related epileptic and non-epileptic paroxysmal behaviours has improved considerably, although it is far from complete. Indeed, even if many core characteristics of sleep-related hypermotor epilepsy and non-rapid eye movement parasomnias have been clarified, some crucial points remain controversial, and the overlap of the behavioural patterns between these disorders represents a diagnostic challenge. In this work, we focused on segments of multichannel sleep electroencephalogram free from clinical episodes, from two groups of subjects affected by sleep-related hypermotor epilepsy (N = 15) and non-rapid eye movement parasomnias (N = 16), respectively. We examined sleep stages N2 and N3 of the first part of the night (cycles 1 and 2), and assessed the existence of differences in the periodic and aperiodic components of the electroencephalogram power spectra between the two groups, using the Fitting Oscillations & One Over f (FOOOF) toolbox. A significant difference in the gamma frequency band was found, with an increased relative power in sleep-related hypermotor epilepsy subjects, during both N2 (p <.001) and N3 (p <.001), and a significant higher slope of the aperiodic component in non-rapid eye movement parasomnias, compared with sleep-related hypermotor epilepsy, during N3 (p =.012). We suggest that the relative power of the gamma band and the slope extracted from the aperiodic component of the electroencephalogram signal may be helpful to characterize differences between subjects affected by non-rapid eye movement parasomnias and those affected by sleep-related hypermotor epilepsy.
KW - aperiodic component
KW - electroencephalography
KW - non-rapid eye movement parasomnias
KW - power spectrum
KW - sleep-related hypermotor epilepsy
KW - spectral slope
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U2 - 10.1111/jsr.13339
DO - 10.1111/jsr.13339
M3 - Article
AN - SCOPUS:85103205096
JO - Journal of Sleep Research
JF - Journal of Sleep Research
SN - 0962-1105
ER -