La maladie de Parkinson en France (serveur d'exploration)

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Parkinson's disease and sleepiness: an integral part of PD.

Identifieur interne : 001196 ( PubMed/Corpus ); précédent : 001195; suivant : 001197

Parkinson's disease and sleepiness: an integral part of PD.

Auteurs : I. Arnulf ; E. Konofal ; M. Merino-Andreu ; J L Houeto ; V. Mesnage ; M L Welter ; L. Lacomblez ; J L Golmard ; J P Derenne ; Y. Agid

Source :

RBID : pubmed:11940685

English descriptors

Abstract

To investigate the potential causes of excessive daytime sleepiness in patients with PD-poor sleep quality, abnormal sleep-wakefulness control, and treatment with dopaminergic agents.

PubMed: 11940685

Links to Exploration step

pubmed:11940685

Le document en format XML

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<title xml:lang="en">Parkinson's disease and sleepiness: an integral part of PD.</title>
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<name sortKey="Arnulf, I" sort="Arnulf, I" uniqKey="Arnulf I" first="I" last="Arnulf">I. Arnulf</name>
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<nlm:affiliation>Fédération des Pathologies du Sommeil, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, France. isabelle.arnulf@psl.ap-hop-paris.fr</nlm:affiliation>
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<name sortKey="Konofal, E" sort="Konofal, E" uniqKey="Konofal E" first="E" last="Konofal">E. Konofal</name>
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<name sortKey="Merino Andreu, M" sort="Merino Andreu, M" uniqKey="Merino Andreu M" first="M" last="Merino-Andreu">M. Merino-Andreu</name>
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<name sortKey="Houeto, J L" sort="Houeto, J L" uniqKey="Houeto J" first="J L" last="Houeto">J L Houeto</name>
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<name sortKey="Mesnage, V" sort="Mesnage, V" uniqKey="Mesnage V" first="V" last="Mesnage">V. Mesnage</name>
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<name sortKey="Welter, M L" sort="Welter, M L" uniqKey="Welter M" first="M L" last="Welter">M L Welter</name>
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<name sortKey="Lacomblez, L" sort="Lacomblez, L" uniqKey="Lacomblez L" first="L" last="Lacomblez">L. Lacomblez</name>
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<name sortKey="Golmard, J L" sort="Golmard, J L" uniqKey="Golmard J" first="J L" last="Golmard">J L Golmard</name>
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<title level="j">Neurology</title>
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<term>Aged</term>
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<term>Antiparkinson Agents (therapeutic use)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Prospective Studies</term>
<term>Sleep Deprivation (complications)</term>
<term>Sleep Deprivation (diagnosis)</term>
<term>Sleep Wake Disorders (complications)</term>
<term>Sleep Wake Disorders (diagnosis)</term>
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<term>Antiparkinson Agents</term>
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<term>Parkinson Disease</term>
<term>Sleep Deprivation</term>
<term>Sleep Wake Disorders</term>
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<term>Sleep Deprivation</term>
<term>Sleep Wake Disorders</term>
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<term>Parkinson Disease</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">To investigate the potential causes of excessive daytime sleepiness in patients with PD-poor sleep quality, abnormal sleep-wakefulness control, and treatment with dopaminergic agents.</div>
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<Month>04</Month>
<Day>09</Day>
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<Month>05</Month>
<Day>07</Day>
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<Month>11</Month>
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<Month>Apr</Month>
<Day>09</Day>
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<ArticleTitle>Parkinson's disease and sleepiness: an integral part of PD.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate the potential causes of excessive daytime sleepiness in patients with PD-poor sleep quality, abnormal sleep-wakefulness control, and treatment with dopaminergic agents.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The authors performed night-time polysomnography and daytime multiple sleep latency tests in 54 consecutive levodopa-treated patients with PD referred for sleepiness, 27 of whom were also receiving dopaminergic agonists.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sleep latency was 6.3 +/- 0.6 minutes (normal >8 minutes), and the Epworth Sleepiness score was 14.3 +/- 4.1 (normal <10). A narcolepsy-like phenotype (> or = 2 sleep-onset REM periods) was found in 39% of the patients, who were sleepier (4.6 +/- 0.9 minutes) than the other 61% of patients (7.4 +/- 0.7 minutes). Periodic leg movement syndromes were rare (15%, range 16 to 43/h), but obstructive sleep apnea-hypopnea syndromes were frequent (20% of patients had an apnea-hypopnea index >15/h; range 15.1 to 50.0). Severity of sleepiness was weakly correlated with Epworth Sleepiness score (r = -0.34) and daily dose of levodopa (r = 0.30) but not with dopamine-agonist treatment, age, disease duration, parkinsonian motor disability, total sleep time, periodic leg movement, apnea-hypopnea, or arousal indices.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In patients with PD preselected for sleepiness, severity of sleepiness was not dependent on nocturnal sleep abnormalities, motor and cognitive impairment, or antiparkinsonian treatment. The results suggest that sleepiness-sudden onset of sleep-does not result from pharmacotherapy but is related to the pathology of PD.</AbstractText>
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