Rapid eye movement sleep behavior disorder and subtypes of Parkinson's disease
Identifieur interne : 001374 ( Main/Exploration ); précédent : 001373; suivant : 001375Rapid eye movement sleep behavior disorder and subtypes of Parkinson's disease
Auteurs : Silvia Rios Romenets [Canada] ; Jean-Francois Gagnon [Canada] ; Véronique Latreille [Canada] ; Michel Panniset [Canada] ; Sylvain Chouinard [Canada] ; Jacques Montplaisir [Canada] ; Ronald B. Postuma [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2012-07.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (therapeutic use), Autonomic Nervous System Diseases (etiology), Autonomic Nervous System Diseases (physiopathology), Behavior, Cohort Studies, Color Perception, Female, Hallucinations (etiology), Hallucinations (psychology), Humans, Levodopa (therapeutic use), Male, Mental Disorders (etiology), Mental Disorders (psychology), Middle Aged, Movement, Nervous system diseases, Neurologic Examination, Parkinson Disease (classification), Parkinson Disease (complications), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Polysomnography, Postural hypotension, Psychomotor Performance, REM Sleep Behavior Disorder (complications), REM Sleep Behavior Disorder (psychology), REM sleep behavior disorder, Rapid eye movement sleep, Sleep disorder, Smell, Socioeconomic Factors, Subtype, motor manifestation, nonmotor manifestation, orthostatic hypotension.
- MESH :
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- classification : Parkinson Disease.
- complications : Parkinson Disease, REM Sleep Behavior Disorder.
- etiology : Autonomic Nervous System Diseases, Hallucinations, Mental Disorders.
- physiopathology : Autonomic Nervous System Diseases.
- psychology : Hallucinations, Mental Disorders, Parkinson Disease, REM Sleep Behavior Disorder.
- Aged, Cohort Studies, Color Perception, Female, Humans, Male, Middle Aged, Movement, Neurologic Examination, Polysomnography, Psychomotor Performance, Smell, Socioeconomic Factors.
Abstract
Numerous studies have explored the potential relationship between rapid eye movement sleep behavior disorder (RBD) and manifestations of PD. Our aim was to perform an expanded extensive assessment of motor and nonmotor manifestations in PD to identify whether RBD was associated with differences in the nature and severity of these manifestations. PD patients underwent polysomnography (PSG) to diagnose the presence of RBD. Participants then underwent an extensive evaluation by a movement disorders specialist blinded to PSG results. Measures of disease severity, quantitative motor indices, motor subtypes, therapy complications, and autonomic, psychiatric, visual, and olfactory dysfunction were assessed and compared using regression analysis, adjusting for disease duration, age, and sex. Of 98 included patients, 54 had RBD and 44 did not. PD patients with RBD were older (P = 0.034) and were more likely to be male (P < 0.001). On regression analysis, the most consistent links between RBD and PD were a higher systolic blood pressure (BP) change while standing (−23.9 ± 13.9 versus −3.5 ± 10.9; P < 0.001), a higher orthostatic symptom score (0.89 ± 0.82 versus 0.44 ± 0.66; P = 0.003), and a higher frequency of freezing (43% versus14%; P = 0.011). A systolic BP drop >10 could identify PD patients with RBD with 81% sensitivity and 86% specificity. In addition, there was a probable relationship between RBD and nontremor predominant subtype of PD (P = 0.04), increased frequency of falls (P = 0.009), and depression (P = 0.009). Our results support previous findings that RBD is a multifaceted phenomenon in PD. Patients with PD who have RBD tend to have specific motor and nonmotor manifestations, especially orthostatic hypotension. © 2012 Movement Disorder Society
Url:
DOI: 10.1002/mds.25086
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-07">2012-07</date><biblScope unit="volume">27</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="996">996</biblScope><biblScope unit="page" to="1003">1003</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">5A1AE36A5C2E72698175E4768CBFF4365AD2DAF7</idno><idno type="DOI">10.1002/mds.25086</idno><idno type="ArticleID">MDS25086</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Antiparkinson Agents (therapeutic use)</term><term>Autonomic Nervous System Diseases (etiology)</term><term>Autonomic Nervous System Diseases (physiopathology)</term><term>Behavior</term><term>Cohort Studies</term><term>Color Perception</term><term>Female</term><term>Hallucinations (etiology)</term><term>Hallucinations (psychology)</term><term>Humans</term><term>Levodopa (therapeutic use)</term><term>Male</term><term>Mental Disorders (etiology)</term><term>Mental Disorders (psychology)</term><term>Middle Aged</term><term>Movement</term><term>Nervous system diseases</term><term>Neurologic Examination</term><term>Parkinson Disease (classification)</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (psychology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Polysomnography</term><term>Postural hypotension</term><term>Psychomotor Performance</term><term>REM Sleep Behavior Disorder (complications)</term><term>REM Sleep Behavior Disorder (psychology)</term><term>REM sleep behavior disorder</term><term>Rapid eye movement sleep</term><term>Sleep disorder</term><term>Smell</term><term>Socioeconomic Factors</term><term>Subtype</term><term>motor manifestation</term><term>nonmotor manifestation</term><term>orthostatic hypotension</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term><term>REM Sleep Behavior Disorder</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Autonomic Nervous System Diseases</term><term>Hallucinations</term><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Autonomic Nervous System Diseases</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Hallucinations</term><term>Mental Disorders</term><term>Parkinson Disease</term><term>REM Sleep Behavior Disorder</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Cohort Studies</term><term>Color Perception</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Movement</term><term>Neurologic Examination</term><term>Polysomnography</term><term>Psychomotor Performance</term><term>Smell</term><term>Socioeconomic Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Comportement</term><term>Hypotension artérielle orthostatique</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Sommeil paradoxal</term><term>Soustype</term><term>Trouble du sommeil</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Numerous studies have explored the potential relationship between rapid eye movement sleep behavior disorder (RBD) and manifestations of PD. Our aim was to perform an expanded extensive assessment of motor and nonmotor manifestations in PD to identify whether RBD was associated with differences in the nature and severity of these manifestations. PD patients underwent polysomnography (PSG) to diagnose the presence of RBD. Participants then underwent an extensive evaluation by a movement disorders specialist blinded to PSG results. Measures of disease severity, quantitative motor indices, motor subtypes, therapy complications, and autonomic, psychiatric, visual, and olfactory dysfunction were assessed and compared using regression analysis, adjusting for disease duration, age, and sex. Of 98 included patients, 54 had RBD and 44 did not. PD patients with RBD were older (P = 0.034) and were more likely to be male (P < 0.001). On regression analysis, the most consistent links between RBD and PD were a higher systolic blood pressure (BP) change while standing (−23.9 ± 13.9 versus −3.5 ± 10.9; P < 0.001), a higher orthostatic symptom score (0.89 ± 0.82 versus 0.44 ± 0.66; P = 0.003), and a higher frequency of freezing (43% versus14%; P = 0.011). A systolic BP drop >10 could identify PD patients with RBD with 81% sensitivity and 86% specificity. In addition, there was a probable relationship between RBD and nontremor predominant subtype of PD (P = 0.04), increased frequency of falls (P = 0.009), and depression (P = 0.009). Our results support previous findings that RBD is a multifaceted phenomenon in PD. Patients with PD who have RBD tend to have specific motor and nonmotor manifestations, especially orthostatic hypotension. © 2012 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Québec</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université McGill</li><li>Université du Québec à Montréal</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Romenets, Silvia Rios" sort="Romenets, Silvia Rios" uniqKey="Romenets S" first="Silvia Rios" last="Romenets">Silvia Rios Romenets</name></region><name sortKey="Chouinard, Sylvain" sort="Chouinard, Sylvain" uniqKey="Chouinard S" first="Sylvain" last="Chouinard">Sylvain Chouinard</name><name sortKey="Gagnon, Jean Rancois" sort="Gagnon, Jean Rancois" uniqKey="Gagnon J" first="Jean-Francois" last="Gagnon">Jean-Francois Gagnon</name><name sortKey="Gagnon, Jean Rancois" sort="Gagnon, Jean Rancois" uniqKey="Gagnon J" first="Jean-Francois" last="Gagnon">Jean-Francois Gagnon</name><name sortKey="Latreille, Veronique" sort="Latreille, Veronique" uniqKey="Latreille V" first="Véronique" last="Latreille">Véronique Latreille</name><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name><name sortKey="Panniset, Michel" sort="Panniset, Michel" uniqKey="Panniset M" first="Michel" last="Panniset">Michel Panniset</name><name sortKey="Postuma, Ronald B" sort="Postuma, Ronald B" uniqKey="Postuma R" first="Ronald B." last="Postuma">Ronald B. Postuma</name><name sortKey="Postuma, Ronald B" sort="Postuma, Ronald B" uniqKey="Postuma R" first="Ronald B." last="Postuma">Ronald B. Postuma</name><name sortKey="Postuma, Ronald B" sort="Postuma, Ronald B" uniqKey="Postuma R" first="Ronald B." last="Postuma">Ronald B. Postuma</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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