Sleep breathing disorders in patients with idiopathic Parkinson's disease
Identifieur interne : 003304 ( Main/Merge ); précédent : 003303; suivant : 003305Sleep breathing disorders in patients with idiopathic Parkinson's disease
Auteurs : Basta Maria [Grèce] ; Schiza Sophia [Grèce] ; Mauridis Michalis [Grèce] ; Lydakis Charalampos [Grèce] ; Plaitakis Andreas [Grèce] ; Milic Emili John [Canada] ; Siafakas M. Nikolaos [Grèce]Source :
- Respiratory medicine [ 0954-6111 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
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Abstract
Study objectives: to investigate the presence of sleep breathing disorders in patients with idiopathic Parkinson's disease (PD) and their correlation with the severity of the disease. Participants: Fifteen patients (mean age 63±4 years) with idiopathic PD (Group A) and 15 healthy matched controls (Group B) were studied. All patients were under treatment with L-Dopa/Carbidopa and classified according to the UPDRS motor scale: 8 had mild disease (UPDRS<12), 6 moderate (UPDRS: 12 22) and 1 severe (UPDRS>22). Measurements and results: All participants underwent full night polysomnography (PSG). The sleep-wake history was assessed. Spirometry, maximal respiratory pressures and arterial blood gases were also measured. Snoring was more common in Group A patients (73.3% vs. 33.3%, p = 0.002). Among the parameters studied apnea hypopnea index (AHI), mean 02 saturation, minimum 02 saturation, REM% sleep and Arousal Index (Arousal Index) were statistically different between the two groups. Furthermore, 9 PD patients fulfilled the criteria for obstructive sleep apnea-hypopnea syndrome (OSAHS) predominately mild, 1 for central sleep apnea hypopnea syndrome (CSAHS) and 5 were normal. In all patients a marked reduction in percentage REM sleep was observed. Among the patients with OSAHS 5 had mild PD, 3 moderate and 1 severe. The patient with CSAHS had moderate disease. Finally, 3 patients with mild and 2 with moderate PD had no evidence of sleep breathing disorders. Correlations between severity of disease and sleep parameters are provided. Conclusion: Our results suggest that sleep breathing disorders, predominantly obstructive, seem to be common in PD and those events correlate with the severity of the disease.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Sleep breathing disorders in patients with idiopathic Parkinson's disease</title><author><name sortKey="Maria, Basta" sort="Maria, Basta" uniqKey="Maria B" first="Basta" last="Maria">Basta Maria</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Sophia, Schiza" sort="Sophia, Schiza" uniqKey="Sophia S" first="Schiza" last="Sophia">Schiza Sophia</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Sleep Disorders Unit, Department of Thoracic Medicine, University General Hospital of Heraklion, Medical School, University of Heraklion, P.O. Box 1352 Heraklion</s1><s2>711 10 Crete</s2><s3>GRC</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>711 10 Crete</wicri:noRegion></affiliation></author><author><name sortKey="Michalis, Mauridis" sort="Michalis, Mauridis" uniqKey="Michalis M" first="Mauridis" last="Michalis">Mauridis Michalis</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Charalampos, Lydakis" sort="Charalampos, Lydakis" uniqKey="Charalampos L" first="Lydakis" last="Charalampos">Lydakis Charalampos</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Andreas, Plaitakis" sort="Andreas, Plaitakis" uniqKey="Andreas P" first="Plaitakis" last="Andreas">Plaitakis Andreas</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="John, Milic Emili" sort="John, Milic Emili" uniqKey="John M" first="Milic Emili" last="John">Milic Emili John</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Meakins-christie Laboratories, University of McGill</s1><s2>Montreal, Quebec</s2><s3>CAN</s3><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName><orgName type="university">Université McGill</orgName></affiliation></author><author><name sortKey="Nikolaos, Siafakas M" sort="Nikolaos, Siafakas M" uniqKey="Nikolaos S" first="Siafakas M." last="Nikolaos">Siafakas M. Nikolaos</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Sleep Disorders Unit, Department of Thoracic Medicine, University General Hospital of Heraklion, Medical School, University of Heraklion, P.O. Box 1352 Heraklion</s1><s2>711 10 Crete</s2><s3>GRC</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>711 10 Crete</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">04-0049982</idno><date when="2003">2003</date><idno type="stanalyst">PASCAL 04-0049982 INIST</idno><idno type="RBID">Pascal:04-0049982</idno><idno type="wicri:Area/PascalFrancis/Corpus">000A34</idno><idno type="wicri:Area/PascalFrancis/Curation">000289</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000918</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000918</idno><idno type="wicri:doubleKey">0954-6111:2003:Maria B:sleep:breathing:disorders</idno><idno type="wicri:Area/Main/Merge">003304</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Sleep breathing disorders in patients with idiopathic Parkinson's disease</title><author><name sortKey="Maria, Basta" sort="Maria, Basta" uniqKey="Maria B" first="Basta" last="Maria">Basta Maria</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Sophia, Schiza" sort="Sophia, Schiza" uniqKey="Sophia S" first="Schiza" last="Sophia">Schiza Sophia</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Sleep Disorders Unit, Department of Thoracic Medicine, University General Hospital of Heraklion, Medical School, University of Heraklion, P.O. Box 1352 Heraklion</s1><s2>711 10 Crete</s2><s3>GRC</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>711 10 Crete</wicri:noRegion></affiliation></author><author><name sortKey="Michalis, Mauridis" sort="Michalis, Mauridis" uniqKey="Michalis M" first="Mauridis" last="Michalis">Mauridis Michalis</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Charalampos, Lydakis" sort="Charalampos, Lydakis" uniqKey="Charalampos L" first="Lydakis" last="Charalampos">Lydakis Charalampos</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Andreas, Plaitakis" sort="Andreas, Plaitakis" uniqKey="Andreas P" first="Plaitakis" last="Andreas">Plaitakis Andreas</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Medical School, University of Heraklion</s1><s2>Crete</s2><s3>GRC</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="John, Milic Emili" sort="John, Milic Emili" uniqKey="John M" first="Milic Emili" last="John">Milic Emili John</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Meakins-christie Laboratories, University of McGill</s1><s2>Montreal, Quebec</s2><s3>CAN</s3><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName><orgName type="university">Université McGill</orgName></affiliation></author><author><name sortKey="Nikolaos, Siafakas M" sort="Nikolaos, Siafakas M" uniqKey="Nikolaos S" first="Siafakas M." last="Nikolaos">Siafakas M. Nikolaos</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Sleep Disorders Unit, Department of Thoracic Medicine, University General Hospital of Heraklion, Medical School, University of Heraklion, P.O. Box 1352 Heraklion</s1><s2>711 10 Crete</s2><s3>GRC</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Grèce</country><wicri:noRegion>711 10 Crete</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Respiratory medicine</title><title level="j" type="abbreviated">Respir. med.</title><idno type="ISSN">0954-6111</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Respiratory medicine</title><title level="j" type="abbreviated">Respir. med.</title><idno type="ISSN">0954-6111</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Apnea</term><term>Complication</term><term>Diagnosis</term><term>Exploration</term><term>Human</term><term>Lung function</term><term>Parkinson disease</term><term>Sleep</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term><term>Apnée</term><term>Sommeil</term><term>Fonction respiratoire</term><term>Complication</term><term>Exploration</term><term>Diagnostic</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Study objectives: to investigate the presence of sleep breathing disorders in patients with idiopathic Parkinson's disease (PD) and their correlation with the severity of the disease. Participants: Fifteen patients (mean age 63±4 years) with idiopathic PD (Group A) and 15 healthy matched controls (Group B) were studied. All patients were under treatment with L-Dopa/Carbidopa and classified according to the UPDRS motor scale: 8 had mild disease (UPDRS<12), 6 moderate (UPDRS: 12 22) and 1 severe (UPDRS>22). Measurements and results: All participants underwent full night polysomnography (PSG). The sleep-wake history was assessed. Spirometry, maximal respiratory pressures and arterial blood gases were also measured. Snoring was more common in Group A patients (73.3% vs. 33.3%, p = 0.002). Among the parameters studied apnea hypopnea index (AHI), mean 02 saturation, minimum 02 saturation, REM% sleep and Arousal Index (Arousal Index) were statistically different between the two groups. Furthermore, 9 PD patients fulfilled the criteria for obstructive sleep apnea-hypopnea syndrome (OSAHS) predominately mild, 1 for central sleep apnea hypopnea syndrome (CSAHS) and 5 were normal. In all patients a marked reduction in percentage REM sleep was observed. Among the patients with OSAHS 5 had mild PD, 3 moderate and 1 severe. The patient with CSAHS had moderate disease. Finally, 3 patients with mild and 2 with moderate PD had no evidence of sleep breathing disorders. Correlations between severity of disease and sleep parameters are provided. Conclusion: Our results suggest that sleep breathing disorders, predominantly obstructive, seem to be common in PD and those events correlate with the severity of the disease.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Grèce</li></country><region><li>Québec</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><country name="Grèce"><noRegion><name sortKey="Maria, Basta" sort="Maria, Basta" uniqKey="Maria B" first="Basta" last="Maria">Basta Maria</name></noRegion><name sortKey="Andreas, Plaitakis" sort="Andreas, Plaitakis" uniqKey="Andreas P" first="Plaitakis" last="Andreas">Plaitakis Andreas</name><name sortKey="Charalampos, Lydakis" sort="Charalampos, Lydakis" uniqKey="Charalampos L" first="Lydakis" last="Charalampos">Lydakis Charalampos</name><name sortKey="Michalis, Mauridis" sort="Michalis, Mauridis" uniqKey="Michalis M" first="Mauridis" last="Michalis">Mauridis Michalis</name><name sortKey="Nikolaos, Siafakas M" sort="Nikolaos, Siafakas M" uniqKey="Nikolaos S" first="Siafakas M." last="Nikolaos">Siafakas M. Nikolaos</name><name sortKey="Sophia, Schiza" sort="Sophia, Schiza" uniqKey="Sophia S" first="Schiza" last="Sophia">Schiza Sophia</name></country><country name="Canada"><region name="Québec"><name sortKey="John, Milic Emili" sort="John, Milic Emili" uniqKey="John M" first="Milic Emili" last="John">Milic Emili John</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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