Polysomnographic sleep measures in patients with uremic and idiopathic restless legs syndrome
Identifieur interne : 004F23 ( Main/Exploration ); précédent : 004F22; suivant : 004F24Polysomnographic sleep measures in patients with uremic and idiopathic restless legs syndrome
Auteurs : Thomas C. Wetter [Allemagne] ; Karin Stiasny [Allemagne] ; Ralf Kohnen [Allemagne] ; Wolfgang H. Oertel [Allemagne] ; Claudia Trenkwalder [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 1998-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Cerebral Cortex (physiopathology), Electroencephalography, Exploration, Female, Human, Humans, Male, Middle Aged, Periodic leg movements, Polygraphy, Polysomnography, Reaction Time (physiology), Reference Values, Renal Dialysis, Restless Legs Syndrome (diagnosis), Restless Legs Syndrome (physiopathology), Restless legs syndrome, Sleep, Sleep Stages (physiology), Subjective sleep parameters, Uremia, Uremia (diagnosis), Uremia (physiopathology), Wakefulness (physiology).
- MESH :
- diagnosis : Restless Legs Syndrome, Uremia.
- physiology : Reaction Time, Sleep Stages, Wakefulness.
- physiopathology : Cerebral Cortex, Restless Legs Syndrome, Uremia.
- Adult, Aged, Female, Humans, Male, Middle Aged, Polysomnography, Reference Values, Renal Dialysis.
Abstract
In the present study, the nocturnal electroencephalographic sleep pattern, the number of periodic leg movements (PLM) during sleep and wakefulness, and the subjective sleep parameters of patients with uremic (n = 10) and idiopathic (n = 17) restless legs syndrome (RLS) were compared. The main finding was that the total number of PLM (p = 0.019), the PLM index (p = 0.018), and the PLM index while awake (p = 0.003) were significantly higher in patients with uremic RLS compared with patients who had idiopathic RLS. Additionally, both groups showed a distinct time‐of‐night pattern of PLM activity. Polysomnographic measures of sleep continuity (total sleep time, sleep efficiency, sleep onset latency, time awake) and sleep architecture (amount of nonrapid eye movement sleep stages 1, 2, 3, and 4 and the amount of rapid eye movement sleep) did not differ between uremic and idiopathic RLS patients. With regard to subjective paramaters, sleep quality was estimated to be worse in uremic RLS (p = 0.033), whereas other paramaters (for example, severity of RLS, quality of life) did not differ between the two groups. It is suggested that uremia itself worsens the motor symptoms of RLS, probably as a result of increased excitability.
Url:
DOI: 10.1002/mds.870130511
Affiliations:
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Le document en format XML
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Oertel</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Philipps University, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Trenkwalder, Claudia" sort="Trenkwalder, Claudia" uniqKey="Trenkwalder C" first="Claudia" last="Trenkwalder">Claudia Trenkwalder</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Max Planck Institute of Psychiatry, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. 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="1998-09">1998-09</date><biblScope unit="vol">13</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="820">820</biblScope><biblScope unit="page" to="824">824</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">052DDB961B533768D3137DC749D8D4DDA61D5EAC</idno><idno type="DOI">10.1002/mds.870130511</idno><idno type="ArticleID">MDS870130511</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cerebral Cortex (physiopathology)</term><term>Electroencephalography</term><term>Exploration</term><term>Female</term><term>Human</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Periodic leg movements</term><term>Polygraphy</term><term>Polysomnography</term><term>Reaction Time (physiology)</term><term>Reference Values</term><term>Renal Dialysis</term><term>Restless Legs Syndrome (diagnosis)</term><term>Restless Legs Syndrome (physiopathology)</term><term>Restless legs syndrome</term><term>Sleep</term><term>Sleep Stages (physiology)</term><term>Subjective sleep parameters</term><term>Uremia</term><term>Uremia (diagnosis)</term><term>Uremia (physiopathology)</term><term>Wakefulness (physiology)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Restless Legs Syndrome</term><term>Uremia</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Reaction Time</term><term>Sleep Stages</term><term>Wakefulness</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cerebral Cortex</term><term>Restless Legs Syndrome</term><term>Uremia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Polysomnography</term><term>Reference Values</term><term>Renal Dialysis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Electroencéphalographie</term><term>Exploration</term><term>Homme</term><term>Impatience membre inférieur syndrome</term><term>Polygraphie</term><term>Sommeil</term><term>Urémie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In the present study, the nocturnal electroencephalographic sleep pattern, the number of periodic leg movements (PLM) during sleep and wakefulness, and the subjective sleep parameters of patients with uremic (n = 10) and idiopathic (n = 17) restless legs syndrome (RLS) were compared. The main finding was that the total number of PLM (p = 0.019), the PLM index (p = 0.018), and the PLM index while awake (p = 0.003) were significantly higher in patients with uremic RLS compared with patients who had idiopathic RLS. Additionally, both groups showed a distinct time‐of‐night pattern of PLM activity. Polysomnographic measures of sleep continuity (total sleep time, sleep efficiency, sleep onset latency, time awake) and sleep architecture (amount of nonrapid eye movement sleep stages 1, 2, 3, and 4 and the amount of rapid eye movement sleep) did not differ between uremic and idiopathic RLS patients. With regard to subjective paramaters, sleep quality was estimated to be worse in uremic RLS (p = 0.033), whereas other paramaters (for example, severity of RLS, quality of life) did not differ between the two groups. It is suggested that uremia itself worsens the motor symptoms of RLS, probably as a result of increased excitability.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Giessen</li><li>District de Haute-Bavière</li><li>Hesse (Land)</li></region><settlement><li>Marbourg</li><li>Munich</li></settlement></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Wetter, Thomas C" sort="Wetter, Thomas C" uniqKey="Wetter T" first="Thomas C." last="Wetter">Thomas C. Wetter</name></region><name sortKey="Kohnen, Ralf" sort="Kohnen, Ralf" uniqKey="Kohnen R" first="Ralf" last="Kohnen">Ralf Kohnen</name><name sortKey="Oertel, Wolfgang H" sort="Oertel, Wolfgang H" uniqKey="Oertel W" first="Wolfgang H." last="Oertel">Wolfgang H. Oertel</name><name sortKey="Stiasny, Karin" sort="Stiasny, Karin" uniqKey="Stiasny K" first="Karin" last="Stiasny">Karin Stiasny</name><name sortKey="Trenkwalder, Claudia" sort="Trenkwalder, Claudia" uniqKey="Trenkwalder C" first="Claudia" last="Trenkwalder">Claudia Trenkwalder</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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