Complex Paroxysmal Nocturnal Behaviors in Parkinson's Disease
Identifieur interne : 000A67 ( PascalFrancis/Corpus ); précédent : 000A66; suivant : 000A68Complex Paroxysmal Nocturnal Behaviors in Parkinson's Disease
Auteurs : Raffaele Manni ; Michele Terzaghi ; Alessandra Repetto ; Roberta Zangaglia ; Claudio PacchettiSource :
- Movement disorders [ 0885-3185 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Complex paroxysmal nocturnal motor behavioral disorders (CPNBs) are frequently reported in patients with Parkinson's disease (PD). REM sleep behavior disorder (RBD) is reported in at least a third of PD patients, although CPNB episodes can also occur on arousal from NREM sleep. It is important to establish the nature of CPNBs occurring in PD, as the different types have different neurobiological significance and clinical importance, and also different treatments. Ninety-six PD patients with and without CPNBs were submitted to overnight in-hospital video-polysomnography. Of these, 76 (47 men) were included in the study analysis: these were patients in whom it was possible to establish the presence or absence of CPNBs and to obtain a clear-cut diagnosis of the nature of the CPNBs reported. The CPNBs were found to be RBD episodes in 39 cases (87%) and nonRBD episodes in 6 (13%) (arousal-related episodes arising from NREM sleep in 3 cases and from REM sleep in 2 cases, parasomnia overlapping syndrome in 1 case). In 4 of the 6 subjects with nonRBD episodes, these occurred upon arousal at the end of an obstructive apnoeic event. Our data confirm that CPNBs in PD are, in most cases, RBD episodes. However, arousal-related episodes accounted for 13% of the CPNBs observed in our sample and occurred in close temporal association with sleep-disordered breathing (SDB). The arousal system is defective in extrapyramidal diseases due to neurodegenerative changes involving the brain stem reticular network; against this background, a trigger effect of SDB on CPNBs, through induction of abrupt arousal, may be hypothesized.
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Format Inist (serveur)
NO : | PASCAL 10-0315037 INIST |
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ET : | Complex Paroxysmal Nocturnal Behaviors in Parkinson's Disease |
AU : | MANNI (Raffaele); TERZAGHI (Michele); REPETTO (Alessandra); ZANGAGLIA (Roberta); PACCHETTI (Claudio) |
AF : | Sleep Unit, IRCCS "C. Mondino Institute of Neurology" Foundation/Pavia/Italie (1 aut., 2 aut., 3 aut., 5 aut.); Parkinson's Disease and Movement Disorders Unit, IRCCS "C. Mondino Institute of Neurology" Foundation/Pavia/Italie (4 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 8; Pp. 985-990; Bibl. 16 ref. |
LA : | Anglais |
EA : | Complex paroxysmal nocturnal motor behavioral disorders (CPNBs) are frequently reported in patients with Parkinson's disease (PD). REM sleep behavior disorder (RBD) is reported in at least a third of PD patients, although CPNB episodes can also occur on arousal from NREM sleep. It is important to establish the nature of CPNBs occurring in PD, as the different types have different neurobiological significance and clinical importance, and also different treatments. Ninety-six PD patients with and without CPNBs were submitted to overnight in-hospital video-polysomnography. Of these, 76 (47 men) were included in the study analysis: these were patients in whom it was possible to establish the presence or absence of CPNBs and to obtain a clear-cut diagnosis of the nature of the CPNBs reported. The CPNBs were found to be RBD episodes in 39 cases (87%) and nonRBD episodes in 6 (13%) (arousal-related episodes arising from NREM sleep in 3 cases and from REM sleep in 2 cases, parasomnia overlapping syndrome in 1 case). In 4 of the 6 subjects with nonRBD episodes, these occurred upon arousal at the end of an obstructive apnoeic event. Our data confirm that CPNBs in PD are, in most cases, RBD episodes. However, arousal-related episodes accounted for 13% of the CPNBs observed in our sample and occurred in close temporal association with sleep-disordered breathing (SDB). The arousal system is defective in extrapyramidal diseases due to neurodegenerative changes involving the brain stem reticular network; against this background, a trigger effect of SDB on CPNBs, through induction of abrupt arousal, may be hypothesized. |
CC : | 002B17; 002B17G |
FD : | Maladie de Parkinson; Trouble du sommeil; Syndrome d'apnée du sommeil; Pathologie du système nerveux; Comportement; Sommeil paradoxal; Eveil |
FG : | Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Cycle veille sommeil; Trouble neurologique; Pathologie de l'appareil respiratoire |
ED : | Parkinson disease; Sleep disorder; Sleep apnea syndrome; Nervous system diseases; Behavior; Rapid eye movement sleep; Arousal |
EG : | Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Sleep wake cycle; Neurological disorder; Respiratory disease |
SD : | Parkinson enfermedad; Trastorno sueño; Apnea sueno síndrome; Sistema nervioso patología; Conducta; Sueño paradojal; Despertar |
LO : | INIST-20953.354000170524820030 |
ID : | 10-0315037 |
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Pascal:10-0315037Le document en format XML
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<front><div type="abstract" xml:lang="en">Complex paroxysmal nocturnal motor behavioral disorders (CPNBs) are frequently reported in patients with Parkinson's disease (PD). REM sleep behavior disorder (RBD) is reported in at least a third of PD patients, although CPNB episodes can also occur on arousal from NREM sleep. It is important to establish the nature of CPNBs occurring in PD, as the different types have different neurobiological significance and clinical importance, and also different treatments. Ninety-six PD patients with and without CPNBs were submitted to overnight in-hospital video-polysomnography. Of these, 76 (47 men) were included in the study analysis: these were patients in whom it was possible to establish the presence or absence of CPNBs and to obtain a clear-cut diagnosis of the nature of the CPNBs reported. The CPNBs were found to be RBD episodes in 39 cases (87%) and nonRBD episodes in 6 (13%) (arousal-related episodes arising from NREM sleep in 3 cases and from REM sleep in 2 cases, parasomnia overlapping syndrome in 1 case). In 4 of the 6 subjects with nonRBD episodes, these occurred upon arousal at the end of an obstructive apnoeic event. Our data confirm that CPNBs in PD are, in most cases, RBD episodes. However, arousal-related episodes accounted for 13% of the CPNBs observed in our sample and occurred in close temporal association with sleep-disordered breathing (SDB). The arousal system is defective in extrapyramidal diseases due to neurodegenerative changes involving the brain stem reticular network; against this background, a trigger effect of SDB on CPNBs, through induction of abrupt arousal, may be hypothesized.</div>
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<ET>Complex Paroxysmal Nocturnal Behaviors in Parkinson's Disease</ET>
<AU>MANNI (Raffaele); TERZAGHI (Michele); REPETTO (Alessandra); ZANGAGLIA (Roberta); PACCHETTI (Claudio)</AU>
<AF>Sleep Unit, IRCCS "C. Mondino Institute of Neurology" Foundation/Pavia/Italie (1 aut., 2 aut., 3 aut., 5 aut.); Parkinson's Disease and Movement Disorders Unit, IRCCS "C. Mondino Institute of Neurology" Foundation/Pavia/Italie (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 8; Pp. 985-990; Bibl. 16 ref.</SO>
<LA>Anglais</LA>
<EA>Complex paroxysmal nocturnal motor behavioral disorders (CPNBs) are frequently reported in patients with Parkinson's disease (PD). REM sleep behavior disorder (RBD) is reported in at least a third of PD patients, although CPNB episodes can also occur on arousal from NREM sleep. It is important to establish the nature of CPNBs occurring in PD, as the different types have different neurobiological significance and clinical importance, and also different treatments. Ninety-six PD patients with and without CPNBs were submitted to overnight in-hospital video-polysomnography. Of these, 76 (47 men) were included in the study analysis: these were patients in whom it was possible to establish the presence or absence of CPNBs and to obtain a clear-cut diagnosis of the nature of the CPNBs reported. The CPNBs were found to be RBD episodes in 39 cases (87%) and nonRBD episodes in 6 (13%) (arousal-related episodes arising from NREM sleep in 3 cases and from REM sleep in 2 cases, parasomnia overlapping syndrome in 1 case). In 4 of the 6 subjects with nonRBD episodes, these occurred upon arousal at the end of an obstructive apnoeic event. Our data confirm that CPNBs in PD are, in most cases, RBD episodes. However, arousal-related episodes accounted for 13% of the CPNBs observed in our sample and occurred in close temporal association with sleep-disordered breathing (SDB). The arousal system is defective in extrapyramidal diseases due to neurodegenerative changes involving the brain stem reticular network; against this background, a trigger effect of SDB on CPNBs, through induction of abrupt arousal, may be hypothesized.</EA>
<CC>002B17; 002B17G</CC>
<FD>Maladie de Parkinson; Trouble du sommeil; Syndrome d'apnée du sommeil; Pathologie du système nerveux; Comportement; Sommeil paradoxal; Eveil</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Cycle veille sommeil; Trouble neurologique; Pathologie de l'appareil respiratoire</FG>
<ED>Parkinson disease; Sleep disorder; Sleep apnea syndrome; Nervous system diseases; Behavior; Rapid eye movement sleep; Arousal</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Sleep wake cycle; Neurological disorder; Respiratory disease</EG>
<SD>Parkinson enfermedad; Trastorno sueño; Apnea sueno síndrome; Sistema nervioso patología; Conducta; Sueño paradojal; Despertar</SD>
<LO>INIST-20953.354000170524820030</LO>
<ID>10-0315037</ID>
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