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Sleep, Epilepsies, and Cognitive Impairment (Paperback)
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Sleep, Epilepsies, and Cognitive Impairment (Paperback)
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Translational research connects science and clinical medicine from
"the bench to the bedside." In Sleep, Epilepsies and Cognitive
Impairment, the authors look back from the bedside to the brain
function underlying clinical symptoms and reveal mechanisms
explored by contemporary neuroimaging and signal analysis in the
overlapping fields of sleep and epilepsy. This book will help the
reader to see epilepsy from a new viewpoint. The common
pathophysiology binding together the diverse manifestations of
epilepsies is the exaggeration of plastic functions of the brain
involving the hippocampus, the non-specific thalamocortical system
and the perisylvian cognitive network. Epileptic derailment seems
to be the price for the latest achievements of the mammal and human
brain; namely the highly developed ability to change and learn. The
contemporary results of sleep research provide new viewpoints to
explain why sleep and epilepsy are bedfellows. Converging evidence
supports the concept that one of the most important biological
roles of NREM sleep is the renewal of synaptic balance ensuring
learning ability from one day to the next and consolidation of new
memories. Epilepsy and NREM sleep use overlapping structures and
functions, therefore epilepsy beginning in early childhood may
interfere with sleep plastic functions. NREM sleep, which affects
original learning and memory, may become the hidden source of
chronic cognitive impairment when epilepsy occurs during sleep and
blocks the plastic processes. Sleep, Epilepsies and Cognitive
Impairment abandons the academic classification of epilepsy by
following the system epilepsy concept, binding major epilepsies
with structures and functions of physiological brain systems. It
tries to show within this system the close interrelationship
between sleep, epilepsy and cognition. Neuroscientists, clinical
epileptologists and neurologists interested in brain processes
underlying brain plasticity, sleep and epilepsy will find this book
thought provoking. It offers good "brain-gymnastics" for
reconsidering the ideas on epilepsy.
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