Epilepsies, Partial, Sleep Apnea Syndromes
Conditions
Keywords
CPAP, Sleep Apnea Syndrome, Pharmacoresistant Epilepsy, Apnea Hypopnea-Index
Brief summary
Study of the Efficacy of the Treatment of Sleep Apnea Syndrome by CPAP in Pharmacoresistant Epilepsy. The primary goal is to evaluate the efficacity after 3 months of obstructive sleep apnea syndrome treatment by CPAP on the epilepsy seizures frequency.
Interventions
CPAP PR1 Philips Respironics with a pression between 4 and 14 mm Hg
CPAP PR1 Philips Respironics with a constant pression of 4 mm Hg.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female age ≥ 18. * Patient suffering of pharmacoresistant epilepsy. * Frequency of epilepsy crisis : minimum 4 per month. * Antiepileptic drug on a stable dose for at least 2 months. * SA-SDQ score ≥ 25. * Written informed consent obtained. * Patient affiliated with a social security regimen.
Exclusion criteria
* Pregnant females (female subjects who are lactating are not excluded). * Anterior CPAP treatment. * Central apnea \>20% during the initial polysomnography. * Mental retardation or severe cognitive impairment. * Presence of pseudo-crisis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients from group IIa and IIb with decreased seizure frequency | At 3 months | Decreased \> 50% after CPAP treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of seizures based on the seizures diary | At 12 months | Impact of SAS treatment on the pharmacoresistance |
| Number of patients from group III with decreased seizure frequency | At 3 months ; At 6 months ; At 12 months | Decreased \> 50% after CPAP treatment |
| Impact of AHI on the number of night seizures | At 12 months | Does the AHI has an impact on the number of night seizure? |
| Impact of the localisation and the type of epilepsy based on patient medical history exam (video-electroencephalogram) on the SAS risk | At 12 months | Does the AHI is impacted by the localisation and the type of epilepsy? |
| Number of patients from group IIa and IIb with decreased seizure frequency | At 6 months ; At 12 months | Decreased \> 50% after CPAP treatment |
| Quality of life questionnaire (QOLIE 31) | At 3 months ; At 6 months ; At 12 months | Impact of SAS treatment on the quality of life |
| Anxiety and depression questionnaire (BECK) | At 3 months ; At 6 months ; At 12 months | Impact of SAS treatment on anxiety and depression |
| Somnolence questionnaire (Epworth) | At 3 months ; At 6 months ; At 12 months | Impact of SAS treatment on somnolence |
| Cognitive capacity questionnaire (MOCA) | At 3 months ; At 6 months ; At 12 months | Impact of SAS treatment on cognitive capacity questionnaire |
| Number of patients who became drug-susceptible based on the seizures diary | At 3 months ; At 6 months ; At 12 months | Impact of SAS treatment on the pharmacoresistance |
Countries
France