IMR Press / JIN / Volume 22 / Issue 5 / DOI: 10.31083/j.jin2205111
Open Access Review
Derailment of Sleep Homeostatic Plasticity Affects the Most Plastic Brain Systems and Carries the Risk of Epilepsy
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1 Department of Neurology, University of Pécs, 7623 Pécs, Hungary
2 CERVO Brain Research Centre, Université LAVAL Québe, Québec, QC G1E 1T2, Canada
3 Institute of Behavioral Sciences Semmelweis University, 1089 Budapest, Hungary
*Correspondence: halasz35gmail.com (Péter Halász)
J. Integr. Neurosci. 2023, 22(5), 111; https://doi.org/10.31083/j.jin2205111
Submitted: 10 February 2023 | Revised: 23 May 2023 | Accepted: 31 May 2023 | Published: 9 August 2023
(This article belongs to the Special Issue Sleep and Epilepsy)
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Although a critical link between non-rapid eye movement (NREM) sleep and epilepsy has long been suspected, the interconnecting mechanisms have remained obscure. However, recent advances in sleep research have provided some clues. Sleep homeostatic plasticity is now recognized as an engine of the synaptic economy and a feature of the brain’s ability to adapt to changing demands. This allows epilepsy to be understood as a cost of brain plasticity. On the one hand, plasticity is a force for development, but on the other it opens the possibility of epileptic derailment. Here, we provide a summary of the phenomena that link sleep and epilepsy. The concept of “system epilepsy”, or epilepsy as a network disease, is introduced as a general approach to understanding the major epilepsy syndromes, i.e., epilepsies building upon functional brain networks. We discuss how epileptogenesis results in certain major epilepsies following the derailment of NREM sleep homeostatic plasticity. Post-traumatic epilepsy is presented as a general model for this kind of epileptogenesis.

Keywords
sleep homeostatic plasticity
epileptic derailment of functional brain networks
system epilepsy
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