title: Maximizing the Yield of Rapid Eye Movement Sleep in the Epilepsy Monitoring Unit.
abstract: OBJECTIVE
  Rapid eye movement (REM) sleep can help localize the epileptogenic zone in multifocal epilepsy when interictal discharges appear diffuse. However, REM sleep is reputedly rare and easily overlooked in the Epilepsy Monitoring Unit (EMU). The aims of this study are to determine the characteristics of REM sleep in a typical EMU and whether using automated artifact recognition can meaningfully enhance REM sleep detection.
  
  
  METHODS
  Artifact-based REM sleep detection was applied to 581 nights of EMU recording from 100 patients over 12 months. REM sleep had been manually detected at the time of recording. The index of suspicion for manual detection was raised after 6 months. Artifact-based detection was compared with manual detection, and the impact on localization was assessed.
  
  
  RESULTS
  REM sleep occurred in 77% of EMU nights. Thirty-six patients achieved REM sleep nightly and 62 patients on at least one night. Mean admission was 5.83 days. Mean REM sleep duration was 5.92 minutes over 1.88 mean nightly bouts. Raising the level of suspicion increased manual detection rates from 22.6% to 40.5%. The artifact-based detection rate was 96% and provided additional localizing information in 10% of epilepsy patients.
  
  
  CONCLUSIONS
  REM sleep is common in the EMU, but bouts are few and brief. Capturing these bouts to maximize the yield of REM sleep in the EMU is made possible by automated artifact recognition whose results could enhance localization of the epileptogenic zone.
authors.affiliation: Section of Neurology, Department of Internal Medicine, Health Sciences Centre, University of Manitoba, Winnipeg, MB, Canada.
authors.forename: Marcus C
authors.initials: MC
authors.lastname: Ng
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016477:Artifacts; D001921:Brain / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004569:Electroencephalography / Q000379:methods*; D004827:Epilepsy / Q000000981:diagnostic imaging / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D010363:Pattern Recognition, Automated / Q000379:methods*; D012895:Sleep, REM / Q000502:physiology*; D055815:Young Adult