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

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Vigilance troubles in Parkinson's disease: a subjective and objective polysomnographic study.

Identifieur interne : 000E17 ( PubMed/Curation ); précédent : 000E16; suivant : 000E18

Vigilance troubles in Parkinson's disease: a subjective and objective polysomnographic study.

Auteurs : C. Monaca [France] ; A. Duhamel ; J M Jacquesson ; C. Ozsancak ; A. Destée ; J D Guieu ; L. Defebvre ; P. Derambure

Source :

RBID : pubmed:16740409

English descriptors

Abstract

To assess the prevalence of vigilance disorders in Parkinson's disease patients, relate the observed phenomena to potential causes and confirm these troubles with polysomnographic analysis.

DOI: 10.1016/j.sleep.2005.12.002
PubMed: 16740409

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pubmed:16740409

Le document en format XML

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<name sortKey="Monaca, C" sort="Monaca, C" uniqKey="Monaca C" first="C" last="Monaca">C. Monaca</name>
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<nlm:affiliation>Service de Neurophysiologie Clinique, EA2683, Hôpital R. Salengro, CHRU de Lille, F-59037 Lille Cedex, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Jacquesson, J M" sort="Jacquesson, J M" uniqKey="Jacquesson J" first="J M" last="Jacquesson">J M Jacquesson</name>
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<name sortKey="Destee, A" sort="Destee, A" uniqKey="Destee A" first="A" last="Destée">A. Destée</name>
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<name sortKey="Guieu, J D" sort="Guieu, J D" uniqKey="Guieu J" first="J D" last="Guieu">J D Guieu</name>
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<name sortKey="Defebvre, L" sort="Defebvre, L" uniqKey="Defebvre L" first="L" last="Defebvre">L. Defebvre</name>
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<name sortKey="Guieu, J D" sort="Guieu, J D" uniqKey="Guieu J" first="J D" last="Guieu">J D Guieu</name>
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<term>Arousal (drug effects)</term>
<term>Arousal (physiology)</term>
<term>Disorders of Excessive Somnolence (epidemiology)</term>
<term>Disorders of Excessive Somnolence (physiopathology)</term>
<term>Dopamine Agents (adverse effects)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Polysomnography</term>
<term>Prospective Studies</term>
<term>Sleep Apnea Syndromes</term>
<term>Surveys and Questionnaires</term>
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<term>Disorders of Excessive Somnolence</term>
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<term>Arousal</term>
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<term>Disorders of Excessive Somnolence</term>
<term>Parkinson Disease</term>
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<term>Female</term>
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<term>Male</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">To assess the prevalence of vigilance disorders in Parkinson's disease patients, relate the observed phenomena to potential causes and confirm these troubles with polysomnographic analysis.</div>
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<Year>2006</Year>
<Month>12</Month>
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<Month>11</Month>
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<ArticleTitle>Vigilance troubles in Parkinson's disease: a subjective and objective polysomnographic study.</ArticleTitle>
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<AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">To assess the prevalence of vigilance disorders in Parkinson's disease patients, relate the observed phenomena to potential causes and confirm these troubles with polysomnographic analysis.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">A questionnaire was used to gather information on demographic data, previous and current treatments, disease characteristics, sleep and vigilance troubles. Somnolence was measured using the Epworth Sleepiness Scale (ESS). Nocturnal polysomnography (PSG) and multiple sleep latency tests (MSLT) were performed for a sample of parkinsonian patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Two hundred twenty-two parkinsonian patients completed the questionnaire, and 36 patients had objective analyses. Of the patients, 43.2% had an ESS score >10, and 28.4% reported somnolence in the hour after taking dopaminergic drugs, whereas 6.8% reported unintended sleep episodes. In view of questionnaire data, these vigilance disorders may be partly explained not only by the impact of nocturnal sleep disorders (e.g. sleep apnea syndromes) but also by dopaminergic therapy (especially with dopaminergic agonists). With PSG and MSLT results, we have shown a significant correlation between mean sleep latency and ESS score. Patients with unintended sleep episodes have severe sleepiness in MSLT compared with others patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Vigilance disorders are frequently observed in Parkinson's disease. We recommend informing patients of the risk of occurrence of such conditions, notably for patients with unintended sleep episodes and with sleepiness in the hour after taking dopaminergic drugs.</AbstractText>
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