On the relationships between epilepsy, sleep, and Alzheimer's disease: A narrative review

Epilepsy Behav. 2022 Apr:129:108609. doi: 10.1016/j.yebeh.2022.108609. Epub 2022 Feb 14.

Abstract

Epilepsy, sleep, and Alzheimer's disease (AD) are tightly and potentially causally interconnected. The aim of our review was to investigate current research directions on these relationships. Our hope is that they may indicate preventive measures and new treatment options for early neurodegeneration. We included articles that assessed all three topics and were published during the last ten years. We found that this literature corroborates connections on various pathophysiological levels, including sleep-stage-related epileptiform activity in AD, the negative consequences of different sleep disorders on epilepsy and cognition, common biochemical pathways as well as network dysfunctions. Here we provide a detailed overview of these topics and we discuss promising diagnostic and therapeutic consequences.

Keywords: Alzheimer’s disease; Epilepsy; NREM sleep; Sleep disorders; Slow-wave sleep; Subclinical epileptiform activity.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease* / complications
  • Alzheimer Disease* / diagnosis
  • Alzheimer Disease* / therapy
  • Epilepsy* / complications
  • Epilepsy* / diagnosis
  • Epilepsy* / therapy
  • Humans
  • Sleep / physiology
  • Sleep Stages / physiology
  • Sleep Wake Disorders* / complications
  • Sleep Wake Disorders* / therapy