Periodic leg movements and REM sleep without atonia in Parkinson's disease with camptocormia
Identifieur interne : 002138 ( Main/Exploration ); précédent : 002137; suivant : 002139Periodic leg movements and REM sleep without atonia in Parkinson's disease with camptocormia
Auteurs : Sophie Lavault [France] ; Frederic Bloch [France] ; Jean-Luc Houeto [France] ; Eric Konofal [France] ; Marie-Laure Welter [France] ; Yves Agid [France] ; Isabelle Arnulf [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-12-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Atonia, Case-Control Studies, Dorsal spine, Female, Humans, Kyphosis, Male, Mental Status Schedule, Middle Aged, Muscle, Skeletal (physiopathology), Nervous system diseases, Nocturnal Myoclonus Syndrome (etiology), Parkinson Disease (complications), Parkinson disease, Parkinson's disease, Posture (physiology), REM Sleep Behavior Disorder (etiology), REM sleep, Rapid eye movement sleep, Sleep Stages (physiology), Walking (physiology), camptocormia, periodic leg movements, sleep.
- MESH :
- complications : Parkinson Disease.
- etiology : Nocturnal Myoclonus Syndrome, REM Sleep Behavior Disorder.
- physiology : Posture, Sleep Stages, Walking.
- physiopathology : Muscle, Skeletal.
- Aged, Aged, 80 and over, Case-Control Studies, Female, Humans, Male, Mental Status Schedule, Middle Aged.
Abstract
Camptocormia (a flexion of the trunk that only appears when standing or walking) affects a minority of patients with Parkinson's disease (PD). As it responds poorly to levodopa and is associated with reduced midbrain and pons volume, it may result from non‐dopaminergic, brainstem lesions. As several sleep abnormalities in PD also result from non‐dopaminergic brainstem lesions, we monitored sleep in 24 non‐demented PD patients with (n = 12) and without (n = 12) camptocormia and in 12 controls. Nearly half (42%) patients with camptocormia had abnormal periodic leg movement indices (>15/h), versus 17% patients without camptocormia and 8% of controls (p = 0.02). In addition, the percentage of enhanced muscle activity during REM sleep (measured on the chin and on the limb muscles) tended to be higher in patients with than without camptocormia (51 ± 39% vs. 20 ± 25%, p = 0.06). The other sleep and REM sleep characteristics (sleep and REM sleep onset latencies, sleep time and sleep stage percentages, REMs density, arousal, and apnea‐hypopnea indices) were not different between these two PD groups. Lesions causing this axial dystonia may spare the sleep systems but affect the control of movements during sleep. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22854
Affiliations:
- France
- Poitou-Charentes, Île-de-France
- Paris, Poitiers
- Hôpital de la Salpêtrière, Université de Poitiers
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Le document en format XML
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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="2009-12-15">2009-12-15</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">16</biblScope><biblScope unit="page" from="2419">2419</biblScope><biblScope unit="page" to="2423">2423</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8FF34108AF59C378CFEDC93D2A6926DF16419EE9</idno><idno type="DOI">10.1002/mds.22854</idno><idno type="ArticleID">MDS22854</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Atonia</term><term>Case-Control Studies</term><term>Dorsal spine</term><term>Female</term><term>Humans</term><term>Kyphosis</term><term>Male</term><term>Mental Status Schedule</term><term>Middle Aged</term><term>Muscle, Skeletal (physiopathology)</term><term>Nervous system diseases</term><term>Nocturnal Myoclonus Syndrome (etiology)</term><term>Parkinson Disease (complications)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Posture (physiology)</term><term>REM Sleep Behavior Disorder (etiology)</term><term>REM sleep</term><term>Rapid eye movement sleep</term><term>Sleep Stages (physiology)</term><term>Walking (physiology)</term><term>camptocormia</term><term>periodic leg movements</term><term>sleep</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Nocturnal Myoclonus Syndrome</term><term>REM Sleep Behavior Disorder</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Posture</term><term>Sleep Stages</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Muscle, Skeletal</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Mental Status Schedule</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atonie</term><term>Camptocormie</term><term>Cyphose</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Rachis dorsal</term><term>Sommeil paradoxal</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Camptocormia (a flexion of the trunk that only appears when standing or walking) affects a minority of patients with Parkinson's disease (PD). As it responds poorly to levodopa and is associated with reduced midbrain and pons volume, it may result from non‐dopaminergic, brainstem lesions. As several sleep abnormalities in PD also result from non‐dopaminergic brainstem lesions, we monitored sleep in 24 non‐demented PD patients with (n = 12) and without (n = 12) camptocormia and in 12 controls. Nearly half (42%) patients with camptocormia had abnormal periodic leg movement indices (>15/h), versus 17% patients without camptocormia and 8% of controls (p = 0.02). In addition, the percentage of enhanced muscle activity during REM sleep (measured on the chin and on the limb muscles) tended to be higher in patients with than without camptocormia (51 ± 39% vs. 20 ± 25%, p = 0.06). The other sleep and REM sleep characteristics (sleep and REM sleep onset latencies, sleep time and sleep stage percentages, REMs density, arousal, and apnea‐hypopnea indices) were not different between these two PD groups. Lesions causing this axial dystonia may spare the sleep systems but affect the control of movements during sleep. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Poitou-Charentes</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Poitiers</li></settlement><orgName><li>Hôpital de la Salpêtrière</li><li>Université de Poitiers</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Lavault, Sophie" sort="Lavault, Sophie" uniqKey="Lavault S" first="Sophie" last="Lavault">Sophie Lavault</name></noRegion><name sortKey="Agid, Yves" sort="Agid, Yves" uniqKey="Agid Y" first="Yves" last="Agid">Yves Agid</name><name sortKey="Agid, Yves" sort="Agid, Yves" uniqKey="Agid Y" first="Yves" last="Agid">Yves Agid</name><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name><name sortKey="Bloch, Frederic" sort="Bloch, Frederic" uniqKey="Bloch F" first="Frederic" last="Bloch">Frederic Bloch</name><name sortKey="Bloch, Frederic" sort="Bloch, Frederic" uniqKey="Bloch F" first="Frederic" last="Bloch">Frederic Bloch</name><name sortKey="Houeto, Jean Uc" sort="Houeto, Jean Uc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name><name sortKey="Houeto, Jean Uc" sort="Houeto, Jean Uc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name><name sortKey="Konofal, Eric" sort="Konofal, Eric" uniqKey="Konofal E" first="Eric" last="Konofal">Eric Konofal</name><name sortKey="Lavault, Sophie" sort="Lavault, Sophie" uniqKey="Lavault S" first="Sophie" last="Lavault">Sophie Lavault</name><name sortKey="Welter, Marie Aure" sort="Welter, Marie Aure" uniqKey="Welter M" first="Marie-Laure" last="Welter">Marie-Laure Welter</name><name sortKey="Welter, Marie Aure" sort="Welter, Marie Aure" uniqKey="Welter M" first="Marie-Laure" last="Welter">Marie-Laure Welter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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