Sleep disorders and their determinants in multiple system atrophy
Identifieur interne : 000248 ( Ncbi/Merge ); précédent : 000247; suivant : 000249Sleep disorders and their determinants in multiple system atrophy
Auteurs : I. Ghorayeb ; F. Yekhlef ; V. Chrysostome ; E. Balestre ; B. Bioulac ; F. TisonSource :
- Journal of Neurology, Neurosurgery, and Psychiatry [ 0022-3050 ] ; 2002.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (adverse effects), Antiparkinson Agents (therapeutic use), Depression, Female, Humans, Incidence, Levodopa (adverse effects), Levodopa (therapeutic use), Male, Middle Aged, Multiple System Atrophy (complications), Parkinson Disease (complications), Severity of Illness Index, Sleep Wake Disorders (epidemiology), Sleep Wake Disorders (etiology).
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- complications : Multiple System Atrophy, Parkinson Disease.
- epidemiology : Sleep Wake Disorders.
- etiology : Sleep Wake Disorders.
- Aged, Depression, Female, Humans, Incidence, Male, Middle Aged, Severity of Illness Index.
Abstract
Url:
DOI: 10.1136/jnnp.72.6.798
PubMed: 12023429
PubMed Central: 1737902
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PMC:1737902Le document en format XML
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<term>Depression</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Levodopa (adverse effects)</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multiple System Atrophy (complications)</term>
<term>Parkinson Disease (complications)</term>
<term>Severity of Illness Index</term>
<term>Sleep Wake Disorders (epidemiology)</term>
<term>Sleep Wake Disorders (etiology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antiparkinson Agents</term>
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<front><div type="abstract" xml:lang="en"><p><bold>Methods:</bold>
Information about sleep disorders was collected using a standardised questionnaire in an unselected group of 57 patients with MSA and in 62 patients with PD matched as a group for age, sex distribution, and disease duration. </p>
<p><bold>Results:</bold>
Seventy percent of patients with MSA complained of sleep disorders compared with 51% of patients with PD (p=0.03). The most commonly reported sleep disorders were sleep fragmentation (52.5%), vocalisation (60%), REM sleep behaviour disorder (47.5%), and nocturnal stridor (19%). Except for sleep fragmentation, the incidence of these disorders was significantly higher than in PD. Sleep problems tended to be associated with more severe motor symptoms, longer disease duration, depression, and longer duration of levodopa treatment. Half of patients with MSA with sleep disorders complained of daytime somnolence compared with 30% of patients with PD. Daytime somnolence was significantly associated with disease severity in MSA. </p>
<p><bold>Conclusion:</bold>
This study shows that sleep disorders are more common in patients with MSA than in those with PD after the same duration of the disease, reflecting the more diffuse underlying pathological process in MSA. </p>
</div>
</front>
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<front><div type="abstract" xml:lang="en"><p><bold>Methods:</bold>
Information about sleep disorders was collected using a standardised questionnaire in an unselected group of 57 patients with MSA and in 62 patients with PD matched as a group for age, sex distribution, and disease duration. </p>
<p><bold>Results:</bold>
Seventy percent of patients with MSA complained of sleep disorders compared with 51% of patients with PD (p=0.03). The most commonly reported sleep disorders were sleep fragmentation (52.5%), vocalisation (60%), REM sleep behaviour disorder (47.5%), and nocturnal stridor (19%). Except for sleep fragmentation, the incidence of these disorders was significantly higher than in PD. Sleep problems tended to be associated with more severe motor symptoms, longer disease duration, depression, and longer duration of levodopa treatment. Half of patients with MSA with sleep disorders complained of daytime somnolence compared with 30% of patients with PD. Daytime somnolence was significantly associated with disease severity in MSA. </p>
<p><bold>Conclusion:</bold>
This study shows that sleep disorders are more common in patients with MSA than in those with PD after the same duration of the disease, reflecting the more diffuse underlying pathological process in MSA. </p>
</div>
</front>
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<term>Female</term>
<term>Humans</term>
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<term>Levodopa (therapeutic use)</term>
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<front><div type="abstract" xml:lang="en">To evaluate the incidence, types, determinants, and consequences of sleep disorders in patients with multiple system atrophy (MSA) and determine whether their characteristics are similar to those of patients with Parkinson's disease (PD).</div>
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