Evaluation of Daytime Sleepiness Levels According to Types of Epilepsy

Aim: This study aimed to investigate the relationship between electroencephalogram (EEG) findings, clinical characteristics, and subjective sleep measures in adult patients with epilepsy. Material and Methods: 105 patients previously diagnosed with epilepsy were included in this study. EEG recordings analyzed for interictal epileptiform discharges. Participants were divided into two groups: generalized and focal epilepsy, patients with focal epilepsy were also divided into subgroups. The Jenkins Sleep Scale (JSS) and Epworth Sleepiness Scale (ESS) were used to assess sleep quality and daytime sleepiness, respectively. Statistical data were obtained by making pairwise comparisons between groups. Findings: This study revealed that there is a significant association between EEG findings and gender, with frontal lobe epilepsy (FLE) more prevalent in females and temporal lobe epilepsy (TLE) more common in males. According to treatment modalities, monotherapy was predominantly in patients with FLE and TLE, but statistically there is no difference across the groups. EEG abnormalities varied, with temporal and generalized abnormalities most prevalent. Significant differences were found in ESS and JSS scores across epilepsy groups, with higher scores observed in FLE. A positive correlation was found between ESS and JSS scores. Results: The impact of epilepsy on various aspects of a person's life, including sleep, is significant. This study underscores the importance of conducting comprehensive sleep assessments in clinical practice for individuals with epilepsy.