Evidence map›Paper›PMID 37950422›Full record

ArticleBrain and behavior2023

Subclinical epileptiform activity and sleep disturbances in Alzheimer's disease.

Astrid Devulder, Jaiver Macea, Alexandros Kalkanis, François-Laurent De Winter, Mathieu Vandenbulcke, Rik Vandenberghe, Dries Testelmans, Maarten J A Van Den Bossche, Wim Van Paesschen

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Astrid DevulderLaboratory for Epilepsy Research, KU Leuven and Department of Neurology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0002-4652-2459
Jaiver MaceaLaboratory for Epilepsy Research, KU Leuven and Department of Neurology, University Hospitals Leuven, Leuven, Belgium.
Alexandros KalkanisLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), KU Leuven and Department of Pulmonary Diseases, University Hospitals Leuven, Leuven, Belgium.
François-Laurent De WinterDivision of Neuropsychiatry, Department of Neurosciences, Leuven Brain Institute, KU Leuven and Department of Geriatric Psychiatry, University Psychiatric Center (UPC) KU Leuven, Leuven, Belgium.
Mathieu VandenbulckeDivision of Neuropsychiatry, Department of Neurosciences, Leuven Brain Institute, KU Leuven and Department of Geriatric Psychiatry, University Psychiatric Center (UPC) KU Leuven, Leuven, Belgium.
Rik VandenbergheLaboratory for Cognitive Neurology, KU Leuven and Department of Neurology, University Hospitals Leuven, Leuven, Belgium.
Dries TestelmansLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), KU Leuven and Department of Pulmonary Diseases, University Hospitals Leuven, Leuven, Belgium.
Maarten J A Van Den BosscheDivision of Neuropsychiatry, Department of Neurosciences, Leuven Brain Institute, KU Leuven and Department of Geriatric Psychiatry, University Psychiatric Center (UPC) KU Leuven, Leuven, Belgium.
Wim Van PaesschenLaboratory for Epilepsy Research, KU Leuven and Department of Neurology, University Hospitals Leuven, Leuven, Belgium.
KU Leuven · BEAllen Institute for Brain Science · US

Funding

Bijzonder Onderzoeksfonds (BOF) KU Leuven (Internal Funds KU Leuven) C24/18/097
6 · The paper itself

Abstract

introductionSubclinical epileptiform activity (SEA) and sleep disturbances are frequent in Alzheimer's disease (AD). Both have an important relation to cognition and potential therapeutic implications. We aimed to study a possible relationship between SEA and sleep disturbances in AD.

methodsIn this cross-sectional study, we performed a 24-h ambulatory EEG and polysomnography in 48 AD patients without diagnosis of epilepsy and 34 control subjects.

resultsSEA, mainly detected in frontotemporal brain regions during N2 with a median of three spikes/night [IQR1-17], was three times more prevalent in AD. AD patients had lower sleep efficacy, longer wake after sleep onset, more awakenings, more N1%, less REM sleep and a higher apnea-hypopnea index (AHI) and oxygen desaturation index (ODI). Sleep was not different between AD subgroup with SEA (AD-Epi+) and without SEA (AD-Epi-); however, compared to controls, REM% was decreased and AHI and ODI were increased in the AD-Epi+ subgroup. DISCUSSION: Decreased REM sleep and more severe sleep-disordered breathing might be related to SEA in AD. These results could have diagnostic and therapeutic implications and warrant further study at the intersection between sleep and epileptiform activity in AD.

Indexed as

Alzheimer DiseaseSleep Apnea, ObstructiveSleep Apnea SyndromesSleep Wake DisordersCross-Sectional StudiesHumansOxygenSleepOxygenAlzheimer's diseaseepileptiform activityobstructive sleep apneaREM sleepsleep

Identifiers

PMID37950422
PMCPMC10726840
OpenAlexW4388597456

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.