[HN Gopher] Brain waves usually found in sleep can protect again...
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       Brain waves usually found in sleep can protect against epileptic
       activity
        
       Author : wglb
       Score  : 97 points
       Date   : 2023-12-01 20:31 UTC (2 days ago)
        
 (HTM) web link (medicalxpress.com)
 (TXT) w3m dump (medicalxpress.com)
        
       | padolsey wrote:
       | Quite interesting. So epileptic brains are re-using a mechanism
       | from the sleep cycle to defend against daytime seizures
       | [potentially].... But at a cost of cognitive ability. I like how
       | the brain can adaptively rewire stuff to defend itself. Just an
       | anecdote, I find that my epilepsy causes me to drastically fall
       | off a cognitive cliff at a certain point during e.g. a long
       | meeting, and I guess this is a kind of gentle defence mechanism
       | which I tend to call an 'aura' or precursor to a seizure. I like
       | that the brain can give you notice of such a thing, enabling you
       | to escape a bad situation.
        
         | jonmagic wrote:
         | "aura" rings very true for me, I can feel it coming on 5-30
         | seconds before it hits hard.
         | 
         | I especially struggle, not necessarily to the point of seizure
         | but at least increased brain activity, with social situations
         | with too many inputs when I can't decide which input to focus
         | on.
        
           | zackkatz wrote:
           | I had nocturnal childhood epilepsy and, thankfully, I grew
           | out of it.
           | 
           | I would have an "aura" before going to bed that I would be
           | having a seizure that night.
           | 
           | Thankfully, I never had a daytime seizure.
        
           | falling_myshkin wrote:
           | i have the same troubles in social situations with too many
           | inputs. i am quite frankly asocial because of it, though i
           | don't necessarily want to be. do you mind if i ask what your
           | reaction feels like? my reaction feels a lot like
           | dissociation, but it also could be absence seizure. it is
           | hard to introspect in those moments.
        
         | falling_myshkin wrote:
         | i recently had my first generalized seizure and once i knew and
         | talked with doctors who confirmed it as primarily TLE i
         | realized i had been having focal seizures for years.
         | 
         | i think i may have a similar feeling in long
         | meetings/conversations too. it's like i am forced to stop
         | paying attention for several seconds. i can generally even
         | notice that i am not paying attention, but I am unable to focus
         | even if i try. i think i've noticed it tends to be worse if
         | there are lots of people talking. it feels a lot like
         | dissociation. perhaps it is an 'aura', some sort of absence
         | seizure...
        
       | voidpointercast wrote:
       | Anecdotal but I have epilepsy and my memory has started
       | decreasing since I started having seizures. Even now thoroughly
       | medicated, I'll still have moments where I completely lose my
       | train of thought, and have to rethink how I arrived there.
        
         | jonmagic wrote:
         | I've wondered if the memory issues are actually side effects of
         | the medication. I spent 6 months on max dosage of one
         | medication and memory was crap and ability to communicate with
         | humans (vs computers for the day job) was greatly diminished.
         | I'm now down to about half the dosage of that medication but
         | we've added a small dose of a second medication and I'm
         | remembering more and social interactions aren't as stressful as
         | they were.
        
           | voidpointercast wrote:
           | I'm not on a ton of medication, but it's very possible. The
           | drugs they put you on are varying kinds of brutal.
        
         | ddorian43 wrote:
         | What about "difficulty recalling words"?
        
           | falling_myshkin wrote:
           | not parent but as someone with temporal lobe epilepsy, in
           | addition to what parent describes, difficulty recalling words
           | is definitely something i experience. Probably the most
           | annoying thing that i have had to learn to deal with is
           | people trying to fill in or guess what word i am trying to
           | say while i pause. The hippocampus is located in the temporal
           | lobe and is heavily involved in the processing and storage of
           | short-term memory as well as retrieval of long-term memory,
           | so it makes sense that if the hippocampus is a bit fried from
           | seizures it would manifest as memory-related cognitive
           | issues.
        
         | breck wrote:
         | I'm curious if the ketogenic diet is regularly presented as a
         | treatment option to those with epilepsy or is it primarily
         | meds?
        
           | falling_myshkin wrote:
           | Primarily medication. Fasting has a long (ancient) history as
           | a treatment for epilepsy, the modern revival and
           | investigation of the ketogenic diet specifically relates to
           | certain types drug-resistant childhood epilepsy. The
           | Wikipedia article on the ketogenic diet is quite informative.
        
       | theK wrote:
       | Amazing how the brain itself has already countermeasures to deal
       | with certain epileptic activity on its own.
       | 
       | What I am missing from the article is whether this provides some
       | tangible opportunities for developing treatments or whether it is
       | a finding that is more like a trivia, as in "hey look how cool
       | the brain is!"
        
         | falling_myshkin wrote:
         | maybe neurofeedback?
         | https://web.archive.org/web/20110710194522/www.epilepsyhealt...
         | 
         | wikipedia claims there is not much recent research when it
         | references that link.
         | 
         | it is being shown that meditation can affect brain waves, I
         | wonder if it is in a way that is beneficial for preventing
         | seizures.
        
       | s_Hogg wrote:
       | I'm one of the lucky ones, as I grew out of my teenage years my
       | brain changed and seizures stopped. You never stop looking over
       | your should or thinking about it though, not at all.
       | 
       | One theory a doctor posed to me for why this could be happening
       | (he'd seen it before), was simply down to neural pathways getting
       | more set as you get older - the analogy he used was that a
       | seizure is sort of like your brain short circuiting, so if it's
       | less plastic that may make you less prone.
       | 
       | It's just ridiculous how adaptable the human brain is, I love
       | reading about this stuff.
        
         | mFixman wrote:
         | I'm lucky to never have had seizures but I had a constant
         | muscular ticks when I was a teenager that mostly went away as I
         | became an adult.
         | 
         | My experience is consistent with your theory of neural pathways
         | getting set, with the exception that I still have get
         | repetitive head ticks on multi-day periods of high anxiety. I
         | completely believe that better and more consistent sleep as an
         | adult (outside high-anxiety periods) also has a lot to do with
         | it.
        
           | imetatroll wrote:
           | I have weird muscular ticks or tremors that are sudden and
           | then stop generally over and over again in the same muscles -
           | either the bicept or the calf - at times. I haven't figured
           | out if it is related to stress or lack of sleep both of which
           | I struggle with but I can say that it is pretty annoying.
           | Sometimes I wonder if it is foreshadowing for something much
           | less pleasant in the future.
        
       | SunlightEdge wrote:
       | On a separate but related topic, I have heard that meditation can
       | trigger/worsen epilepsy, but there is also counter evidence that
       | it can reduce seizures. I find this link interesting - even if
       | there is no definitive finding yet. Note: there are different
       | types of meditation.
        
       | xeRTRex wrote:
       | Sort of related, but my epileptic dog has most of his seizures
       | right as he's waking up. Perhaps he's suddenly losing his
       | "protection" as his short waves are disabling.
        
         | amatecha wrote:
         | Interesting, I have heard recently of someone who is most
         | likely to have his seizures when he's waking up. I know little
         | about the subject but now I wonder about the mechanisms that
         | make this more likely...
        
           | d1sxeyes wrote:
           | I think there's more to dig into here. Although it's fairly
           | well known that sleep (and lack of it) can trigger seizures
           | on waking, there's not much understanding of why. Recently a
           | big breakthrough in SUDI research ("cot death"/"SIDS") found
           | low levels of BChE was a marker for unexplained infant
           | deaths. This is significant particularly because the same
           | marker is known to be linked to difficulties waking up from
           | anaesthesia.
           | 
           | There is a very similar syndrome known as SUDEP (or Sudden
           | Unexpected Death in Epilepsy), where often people are found
           | dead, face down in their beds.
           | 
           | It seems to me at least plausible that there are some links
           | between this new discovery, SUDEP, and SUDI/SIDS.
        
         | heyoni wrote:
         | Interesting. I believe those might be called silence seizures
         | and if I'm not mistaken are prone to happen around the sleep
         | cycles, so before or after one and are found at a fairly high
         | rate in people with a Satb2 mutation, a gene known to be
         | heavily involved in bone growth and cerebral cortex
         | development.
        
       | pedalpete wrote:
       | Super interesting. We've been working on slow-wave enhancement
       | over the last 3 years (increasing synchronous firing of neurons
       | which are the slow-waves mentioned in the article).
       | 
       | We've only looked at doing this during sleep. I'll reach out to
       | epilepsy researchers to see if there may be any benefit to our
       | work in this space.
       | 
       | Or if anyone here knows more, please reach out. Email in profile.
        
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