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I read with great interest the article by Bensken et al.1 Although the burden of epilepsy is all-pervasive, an important facet is missing in nearly all outcome-based data—the effect of epilepsy on sleep parameters. Seizure outcomes infrequently assess subjective and objective sleep measures. The limited data that exist suggest that there is widespread disruption of both self-reported and polysomnography-derived sleep parameters among persons with refractory epilepsy,2 and there is suggestion that this improves with successful epilepsy surgery.3
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Author disclosures are available upon request (journal{at}neurology.org).
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