Evidence map›Paper›PMID 34830412›Full record

ReviewInternational journal of molecular sciences2021

Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link.

Herlinda Bonilla-Jaime, Helena Zeleke, Asheebo Rojas, Claudia Espinosa-Garcia

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. A Review of the Association between Infections, Seizures, and Drugs.Central nervous system agents in medicinal chemistry · 2025
    Pooled it
  2. Circadian Rhythms Time Seizure Severity inJournal of biological rhythms · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Characteristics and causes in patients presenting with convulsions in the Danish prehospital setting.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. International journal of molecular sciences · 2025
    Article
  15. Observational
  16. Article
  17. Review
  18. Seizure Susceptibility inmicroPublication biology · 2025
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Herlinda Bonilla-JaimeDepartamento de Biología de la Reproducción, Área de Biología Conductual y Reproductiva, Universidad Autónoma Metropolitana-Iztapalapa, Ciudad de Mexico CP 09340, Mexico.
Helena ZelekeNeuroscience and Behavioral Biology Program, College of Arts and Sciences, Emory University, Atlanta, GA 30322, USA.
Asheebo RojasDepartment of Pharmacology and Chemical Biology, School of Medicine, Emory University, Atlanta, GA 30322, USA.
Claudia Espinosa-GarciaDepartment of Pharmacology and Chemical Biology, School of Medicine, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0002-9909-9092
Emory University · USFlorida State University · USUniversidad Autónoma Metropolitana · MX

Funding

Brain & Behavior Research Foundation 28380
6 · The paper itself

Abstract

Sleep disturbances, such as insomnia, obstructive sleep apnea, and daytime sleepiness, are common in people diagnosed with epilepsy. These disturbances can be attributed to nocturnal seizures, psychosocial factors, and/or the use of anti-epileptic drugs with sleep-modifying side effects. Epilepsy patients with poor sleep quality have intensified seizure frequency and disease progression compared to their well-rested counterparts. A better understanding of the complex relationship between sleep and epilepsy is needed, since approximately 20% of seizures and more than 90% of sudden unexpected deaths in epilepsy occur during sleep. Emerging studies suggest that neuroinflammation, (e.g., the CNS immune response characterized by the change in expression of inflammatory mediators and glial activation) may be a potential link between sleep deprivation and seizures. Here, we review the mechanisms by which sleep deprivation induces neuroinflammation and propose that neuroinflammation synergizes with seizure activity to worsen neurodegeneration in the epileptic brain. Additionally, we highlight the relevance of sleep interventions, often overlooked by physicians, to manage seizures, prevent epilepsy-related mortality, and improve quality of life.

Indexed as

Disorders of Excessive SomnolenceEpilepsyHumansNeuroinflammatory DiseasesQuality of LifeSeizuresSleep Apnea, ObstructiveSleep DeprivationSleep Initiation and Maintenance DisordersSleep Wake Disordersepilepsyneurodegenerationneuroinflammationseizuressleep

Identifiers

PMID34830412
PMCPMC8617844
OpenAlexW3215086295

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.