Evaluation of sleep and driving performance in six patients with Parkinson's disease reporting sudden onset of sleep under dopaminergic medication: a pilot study.
Identifieur interne : 000786 ( Ncbi/Checkpoint ); précédent : 000785; suivant : 000787Evaluation of sleep and driving performance in six patients with Parkinson's disease reporting sudden onset of sleep under dopaminergic medication: a pilot study.
Auteurs : J Carsten Möller [Allemagne] ; Karin Stiasny ; Volker Hargutt ; Werner Cassel ; Heiko Tietze ; J Hermann Peter ; H-Peter Krüger ; Wolfgang H. OertelSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- Adult, Aged, Antiparkinson Agents (adverse effects), Arousal (drug effects), Automobile Driving, Computer Simulation, Disorders of Excessive Somnolence (chemically induced), Dopamine Agonists (adverse effects), Female, Humans, Male, Middle Aged, Parkinson Disease (drug therapy), Parkinson Disease (psychology), Pilot Projects, Polysomnography, Psychomotor Performance (drug effects), Reaction Time, Sleep (drug effects).
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Dopamine Agonists.
- chemically induced : Disorders of Excessive Somnolence.
- drug effects : Arousal, Psychomotor Performance, Sleep.
- drug therapy : Parkinson Disease.
- psychology : Parkinson Disease.
- Adult, Aged, Automobile Driving, Computer Simulation, Female, Humans, Male, Middle Aged, Pilot Projects, Polysomnography, Reaction Time.
Abstract
Six patients with Parkinson's disease (PD) reporting unusually fast or sudden onset of sleep under the addition of dopamine agonists to a previous levodopa-containing therapy were examined using a sleep-wake diary, the Epworth sleepiness scale (ESS), polysomnography, multiple sleep latency tests (MSLT), a standardized vigilance test, and driving simulation. In all patients, ESS scores were increased and polysomnography showed disruption of the sleep pattern, a tendency towards poor sleep efficiency, and reduced proportions of slow- wave and rapid eye movement sleep. Pathological results in the MSLT or the vigilance test were obtained in five cases. For evaluation of driving performance, the standard deviation from the mean lane position during driving simulation was calculated. Three of five patients had clearly increased mean SDLP values. With respect to the measurement of daytime sleepiness (ESS, MSLT, vigilance test, and driving simulation), each patient had pathological results in at least two of these examinations. However, only a limited transfer of the routine vigilance assessment to driving performance was possible. In summary, this pilot study indicates that unusually fast or sudden onset of sleep in PD patients is a phenomenon of daytime sleepiness.
DOI: 10.1002/mds.10020
PubMed: 12112193
Affiliations:
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Oertel</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2002" type="published">2002</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Antiparkinson Agents (adverse effects)</term><term>Arousal (drug effects)</term><term>Automobile Driving</term><term>Computer Simulation</term><term>Disorders of Excessive Somnolence (chemically induced)</term><term>Dopamine Agonists (adverse effects)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (psychology)</term><term>Pilot Projects</term><term>Polysomnography</term><term>Psychomotor Performance (drug effects)</term><term>Reaction Time</term><term>Sleep (drug effects)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antiparkinson Agents</term><term>Dopamine Agonists</term></keywords><keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Disorders of Excessive Somnolence</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Arousal</term><term>Psychomotor Performance</term><term>Sleep</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Automobile Driving</term><term>Computer Simulation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Polysomnography</term><term>Reaction Time</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Six patients with Parkinson's disease (PD) reporting unusually fast or sudden onset of sleep under the addition of dopamine agonists to a previous levodopa-containing therapy were examined using a sleep-wake diary, the Epworth sleepiness scale (ESS), polysomnography, multiple sleep latency tests (MSLT), a standardized vigilance test, and driving simulation. In all patients, ESS scores were increased and polysomnography showed disruption of the sleep pattern, a tendency towards poor sleep efficiency, and reduced proportions of slow- wave and rapid eye movement sleep. Pathological results in the MSLT or the vigilance test were obtained in five cases. For evaluation of driving performance, the standard deviation from the mean lane position during driving simulation was calculated. Three of five patients had clearly increased mean SDLP values. With respect to the measurement of daytime sleepiness (ESS, MSLT, vigilance test, and driving simulation), each patient had pathological results in at least two of these examinations. However, only a limited transfer of the routine vigilance assessment to driving performance was possible. In summary, this pilot study indicates that unusually fast or sudden onset of sleep in PD patients is a phenomenon of daytime sleepiness.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Giessen</li><li>Hesse (Land)</li></region><settlement><li>Marbourg</li></settlement></list><tree><noCountry><name sortKey="Cassel, Werner" sort="Cassel, Werner" uniqKey="Cassel W" first="Werner" last="Cassel">Werner Cassel</name><name sortKey="Hargutt, Volker" sort="Hargutt, Volker" uniqKey="Hargutt V" first="Volker" last="Hargutt">Volker Hargutt</name><name sortKey="Kruger, H Peter" sort="Kruger, H Peter" uniqKey="Kruger H" first="H-Peter" last="Krüger">H-Peter Krüger</name><name sortKey="Oertel, Wolfgang H" sort="Oertel, Wolfgang H" uniqKey="Oertel W" first="Wolfgang H" last="Oertel">Wolfgang H. Oertel</name><name sortKey="Peter, J Hermann" sort="Peter, J Hermann" uniqKey="Peter J" first="J Hermann" last="Peter">J Hermann Peter</name><name sortKey="Stiasny, Karin" sort="Stiasny, Karin" uniqKey="Stiasny K" first="Karin" last="Stiasny">Karin Stiasny</name><name sortKey="Tietze, Heiko" sort="Tietze, Heiko" uniqKey="Tietze H" first="Heiko" last="Tietze">Heiko Tietze</name></noCountry><country name="Allemagne"><region name="Hesse (Land)"><name sortKey="Moller, J Carsten" sort="Moller, J Carsten" uniqKey="Moller J" first="J Carsten" last="Möller">J Carsten Möller</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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