Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease
Identifieur interne : 001575 ( Main/Corpus ); précédent : 001574; suivant : 001576Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease
Auteurs : Namiko Nishida ; Tokiko Murakami ; Kunihiro Kadoh ; Rie Tohge ; Miki Yamanegi ; Hidemoto Saiki ; Keita Ueda ; Sadayuki Matsumoto ; Masatsune Ishikawa ; Jun A. Takahashi ; Hiroki TodaSource :
- Movement Disorders [ 0885-3185 ] ; 2011-11.
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- KwdEn :
Abstract
Background:: In Parkinson's disease, sleep disturbance is a common occurrence. Methods:: We evaluated sleep in 10 patients with Parkinson's disease (age, 57.5 ± 9.8 years; disease duration, 12.3 ± 2.7 years) before and after subthalamic nucleus deep brain stimulation using the Parkinson's disease sleep scale and polysomnography. Results:: Their total sleep scale scores and daytime sleepiness subscale scores significantly improved after subthalamic nucleus‐deep brain stimulation. The novel findings from this study significantly increased normal rapid eye movement sleep, and decreased abnormal rapid eye movement sleep without atonia after deep brain stimulation in patients with Parkinson's disease. The improved total sleep scale score correlated with decreased wakefulness after sleep onset. Moreover, improved daytime sleepiness correlated with increased normal rapid eye movement sleep time. Sleep improvement did not significantly correlate with resolution of motor complication or reduced dopaminergic dosages. Conclusions:: Subthalamic nucleus‐deep brain stimulation may have beneficial effects on sleep disturbance in advanced Parkinson's disease by restoring sleep architecture and normal rapid eye movement sleep. © 2011 Movement Disorder Society
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DOI: 10.1002/mds.23862
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Takahashi</name><affiliation><mods:affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</mods:affiliation></affiliation></author><author><name sortKey="Toda, Hiroki" sort="Toda, Hiroki" uniqKey="Toda H" first="Hiroki" last="Toda">Hiroki Toda</name><affiliation><mods:affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-11">2011-11</date><biblScope unit="volume">26</biblScope><biblScope unit="issue">13</biblScope><biblScope unit="page" from="2418">2418</biblScope><biblScope unit="page" to="2422">2422</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">7DC113A750A6F7C906864F286C594DCF5E60A161</idno><idno type="DOI">10.1002/mds.23862</idno><idno type="ArticleID">MDS23862</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>polysomnography</term><term>rapid eye movement sleep</term><term>sleep disturbance</term><term>subthalamic nucleus deep brain stimulation</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background:: In Parkinson's disease, sleep disturbance is a common occurrence. Methods:: We evaluated sleep in 10 patients with Parkinson's disease (age, 57.5 ± 9.8 years; disease duration, 12.3 ± 2.7 years) before and after subthalamic nucleus deep brain stimulation using the Parkinson's disease sleep scale and polysomnography. Results:: Their total sleep scale scores and daytime sleepiness subscale scores significantly improved after subthalamic nucleus‐deep brain stimulation. The novel findings from this study significantly increased normal rapid eye movement sleep, and decreased abnormal rapid eye movement sleep without atonia after deep brain stimulation in patients with Parkinson's disease. The improved total sleep scale score correlated with decreased wakefulness after sleep onset. Moreover, improved daytime sleepiness correlated with increased normal rapid eye movement sleep time. Sleep improvement did not significantly correlate with resolution of motor complication or reduced dopaminergic dosages. Conclusions:: Subthalamic nucleus‐deep brain stimulation may have beneficial effects on sleep disturbance in advanced Parkinson's disease by restoring sleep architecture and normal rapid eye movement sleep. © 2011 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Namiko Nishida MD, PhD</name><affiliations><json:string>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string><json:string>Department of Molecular Behavioral Biology, Osaka Bioscience Institute, Suita, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Tokiko Murakami BSc</name><affiliations><json:string>Department of Laboratory Medicine, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Kunihiro Kadoh BSc</name><affiliations><json:string>Department of Laboratory Medicine, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Rie Tohge MD</name><affiliations><json:string>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Miki Yamanegi MD</name><affiliations><json:string>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Hidemoto Saiki MD</name><affiliations><json:string>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Keita Ueda MD, PhD</name><affiliations><json:string>Department of Psychiatry, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string><json:string>Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan</json:string></affiliations></json:item><json:item><name>Sadayuki Matsumoto MD, PhD</name><affiliations><json:string>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Masatsune Ishikawa MD, PhD</name><affiliations><json:string>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Jun A. Takahashi MD, PhD</name><affiliations><json:string>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item><json:item><name>Hiroki Toda MD, PhD</name><affiliations><json:string>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sleep disturbance</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>rapid eye movement sleep</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>polysomnography</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>subthalamic nucleus deep brain stimulation</value></json:item></subject><articleId><json:string>MDS23862</json:string></articleId><language><json:string>eng</json:string></language><abstract>Background:: In Parkinson's disease, sleep disturbance is a common occurrence. Methods:: We evaluated sleep in 10 patients with Parkinson's disease (age, 57.5 ± 9.8 years; disease duration, 12.3 ± 2.7 years) before and after subthalamic nucleus deep brain stimulation using the Parkinson's disease sleep scale and polysomnography. Results:: Their total sleep scale scores and daytime sleepiness subscale scores significantly improved after subthalamic nucleus‐deep brain stimulation. The novel findings from this study significantly increased normal rapid eye movement sleep, and decreased abnormal rapid eye movement sleep without atonia after deep brain stimulation in patients with Parkinson's disease. The improved total sleep scale score correlated with decreased wakefulness after sleep onset. Moreover, improved daytime sleepiness correlated with increased normal rapid eye movement sleep time. Sleep improvement did not significantly correlate with resolution of motor complication or reduced dopaminergic dosages. Conclusions:: Subthalamic nucleus‐deep brain stimulation may have beneficial effects on sleep disturbance in advanced Parkinson's disease by restoring sleep architecture and normal rapid eye movement sleep. © 2011 Movement Disorder Society</abstract><qualityIndicators><score>7.016</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>5</keywordCount><abstractCharCount>1262</abstractCharCount><pdfWordCount>14214</pdfWordCount><pdfCharCount>97058</pdfCharCount><pdfPageCount>23</pdfPageCount><abstractWordCount>168</abstractWordCount></qualityIndicators><title>Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease</title><genre><json:string>article</json:string></genre><host><volume>26</volume><publisherId><json:string>MDS</json:string></publisherId><pages><total>5</total><last>2422</last><first>2418</first></pages><issn><json:string>0885-3185</json:string></issn><issue>13</issue><subject><json:item><value>Brief Report</value></json:item></subject><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1531-8257</json:string></eissn><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>2011</publicationDate><copyrightDate>2011</copyrightDate><doi><json:string>10.1002/mds.23862</json:string></doi><id>7DC113A750A6F7C906864F286C594DCF5E60A161</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/7DC113A750A6F7C906864F286C594DCF5E60A161/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/7DC113A750A6F7C906864F286C594DCF5E60A161/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/7DC113A750A6F7C906864F286C594DCF5E60A161/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>WILEY</p></availability><date>2011</date></publicationStmt><notesStmt><note type="content">*Funding agencies: This study was supported by a Grant‐in‐Aid for Scientific Research (Startup #19800060 and C#22591625) from the Japan Society for the Promotion of Science.</note><note type="content">*Relevant conflicts of interest/financial disclosures: Hidemoto Saiki received research funding from Boehringer Ingelheim. Hiroki Toda received consultation fee from Medtronic.</note><note type="content">*Full financial disclosures and author roles may be found in the online version of this article.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease</title><author><persName><forename type="first">Namiko</forename><surname>Nishida</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><affiliation>Department of Molecular Behavioral Biology, Osaka Bioscience Institute, Suita, Osaka, Japan</affiliation></author><author><persName><forename type="first">Tokiko</forename><surname>Murakami</surname></persName><roleName type="degree">BSc</roleName><affiliation>Department of Laboratory Medicine, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Kunihiro</forename><surname>Kadoh</surname></persName><roleName type="degree">BSc</roleName><affiliation>Department of Laboratory Medicine, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Rie</forename><surname>Tohge</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Miki</forename><surname>Yamanegi</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Hidemoto</forename><surname>Saiki</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Keita</forename><surname>Ueda</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Psychiatry, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><affiliation>Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan</affiliation></author><author><persName><forename type="first">Sadayuki</forename><surname>Matsumoto</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Masatsune</forename><surname>Ishikawa</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Jun A.</forename><surname>Takahashi</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author><author><persName><forename type="first">Hiroki</forename><surname>Toda</surname></persName><roleName type="degree">MD, PhD</roleName><note type="correspondence"><p>Correspondence: Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, 2‐4‐20 Ohgimachi, Kita‐ku, Osaka, Japan 530‐8480</p></note><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-11"></date><biblScope unit="volume">26</biblScope><biblScope unit="issue">13</biblScope><biblScope unit="page" from="2418">2418</biblScope><biblScope unit="page" to="2422">2422</biblScope></imprint></monogr><idno type="istex">7DC113A750A6F7C906864F286C594DCF5E60A161</idno><idno type="DOI">10.1002/mds.23862</idno><idno type="ArticleID">MDS23862</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2011</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Background:: In Parkinson's disease, sleep disturbance is a common occurrence. Methods:: We evaluated sleep in 10 patients with Parkinson's disease (age, 57.5 ± 9.8 years; disease duration, 12.3 ± 2.7 years) before and after subthalamic nucleus deep brain stimulation using the Parkinson's disease sleep scale and polysomnography. Results:: Their total sleep scale scores and daytime sleepiness subscale scores significantly improved after subthalamic nucleus‐deep brain stimulation. The novel findings from this study significantly increased normal rapid eye movement sleep, and decreased abnormal rapid eye movement sleep without atonia after deep brain stimulation in patients with Parkinson's disease. The improved total sleep scale score correlated with decreased wakefulness after sleep onset. Moreover, improved daytime sleepiness correlated with increased normal rapid eye movement sleep time. Sleep improvement did not significantly correlate with resolution of motor complication or reduced dopaminergic dosages. Conclusions:: Subthalamic nucleus‐deep brain stimulation may have beneficial effects on sleep disturbance in advanced Parkinson's disease by restoring sleep architecture and normal rapid eye movement sleep. © 2011 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>sleep disturbance</term></item><item><term>rapid eye movement sleep</term></item><item><term>polysomnography</term></item><item><term>subthalamic nucleus deep brain stimulation</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>Brief Report</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2010-07-31">Received</change><change when="2011-06-18">Registration</change><change when="2011-11">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/7DC113A750A6F7C906864F286C594DCF5E60A161/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="130"><doi origin="wiley" registered="yes">10.1002/mds.v26.13</doi><numberingGroup><numbering type="journalVolume" number="26">26</numbering><numbering type="journalIssue">13</numbering></numberingGroup><coverDate startDate="2011-11">November 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="190" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.23862</doi><idGroup><id type="unit" value="MDS23862"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Brief Report</title><title type="tocHeading1">Brief Reports</title></titleGroup><copyright ownership="thirdParty">Copyright © 2011 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="2010-07-31"></event><event type="manuscriptRevised" date="2011-05-14"></event><event type="manuscriptAccepted" date="2011-06-18"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:3.0.1 mode:FullText" date="2011-12-13"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-07-07"></event><event type="publishedOnlineFinalForm" date="2011-11-22"></event><event type="firstOnline" date="2011-07-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">2418</numbering><numbering type="pageLast">2422</numbering></numberingGroup><correspondenceTo>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, 2‐4‐20 Ohgimachi, Kita‐ku, Osaka, Japan 530‐8480</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS23862.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="2"></count><count type="referenceTotal" number="31"></count><count type="wordTotal" number="5086"></count></countGroup><titleGroup><title type="main" xml:lang="en">Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease<link href="#fn1"></link><link href="#fn2"></link><link href="#fn3"></link></title><title type="short" xml:lang="en">STN‐DBS Restores Normal REM Sleep in PD</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1 #af2"><personName><givenNames>Namiko</givenNames><familyName>Nishida</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Tokiko</givenNames><familyName>Murakami</familyName><degrees>BSc</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Kunihiro</givenNames><familyName>Kadoh</familyName><degrees>BSc</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Rie</givenNames><familyName>Tohge</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Miki</givenNames><familyName>Yamanegi</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Hidemoto</givenNames><familyName>Saiki</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af5 #af6"><personName><givenNames>Keita</givenNames><familyName>Ueda</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Sadayuki</givenNames><familyName>Matsumoto</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au9" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Masatsune</givenNames><familyName>Ishikawa</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au10" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Jun A.</givenNames><familyName>Takahashi</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au11" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Hiroki</givenNames><familyName>Toda</familyName><degrees>MD, PhD</degrees></personName><contactDetails><email normalForm="hi-toda@kitano-hp.or.jp.">hi‐toda@kitano‐hp.or.jp.</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="JP" type="organization"><unparsedAffiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="JP" type="organization"><unparsedAffiliation>Department of Molecular Behavioral Biology, Osaka Bioscience Institute, Suita, Osaka, Japan</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="JP" type="organization"><unparsedAffiliation>Department of Laboratory Medicine, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="JP" type="organization"><unparsedAffiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="JP" type="organization"><unparsedAffiliation>Department of Psychiatry, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</unparsedAffiliation></affiliation><affiliation xml:id="af6" countryCode="JP" type="organization"><unparsedAffiliation>Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Parkinson's disease</keyword><keyword xml:id="kwd2">sleep disturbance</keyword><keyword xml:id="kwd3">rapid eye movement sleep</keyword><keyword xml:id="kwd4">polysomnography</keyword><keyword xml:id="kwd5">subthalamic nucleus deep brain stimulation</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background:</title><p>In Parkinson's disease, sleep disturbance is a common occurrence.</p></section><section xml:id="abs1-2"><title type="main">Methods:</title><p>We evaluated sleep in 10 patients with Parkinson's disease (age, 57.5 ± 9.8 years; disease duration, 12.3 ± 2.7 years) before and after subthalamic nucleus deep brain stimulation using the Parkinson's disease sleep scale and polysomnography.</p></section><section xml:id="abs1-3"><title type="main">Results:</title><p>Their total sleep scale scores and daytime sleepiness subscale scores significantly improved after subthalamic nucleus‐deep brain stimulation. The novel findings from this study significantly increased normal rapid eye movement sleep, and decreased abnormal rapid eye movement sleep without atonia after deep brain stimulation in patients with Parkinson's disease. The improved total sleep scale score correlated with decreased wakefulness after sleep onset. Moreover, improved daytime sleepiness correlated with increased normal rapid eye movement sleep time. Sleep improvement did not significantly correlate with resolution of motor complication or reduced dopaminergic dosages.</p></section><section xml:id="abs1-4"><title type="main">Conclusions:</title><p>Subthalamic nucleus‐deep brain stimulation may have beneficial effects on sleep disturbance in advanced Parkinson's disease by restoring sleep architecture and normal rapid eye movement sleep. © 2011 Movement Disorder Society</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Funding agencies: This study was supported by a Grant‐in‐Aid for Scientific Research (Startup #19800060 and C#22591625) from the Japan Society for the Promotion of Science.</p></note><note xml:id="fn2"><p>Relevant conflicts of interest/financial disclosures: Hidemoto Saiki received research funding from Boehringer Ingelheim. Hiroki Toda received consultation fee from Medtronic.</p></note><note xml:id="fn3"><p>Full financial disclosures and author roles may be found in the online version of this article.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>STN‐DBS Restores Normal REM Sleep in PD</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Subthalamic nucleus deep brain stimulation restores normal rapid eye movement sleep in Parkinson's disease</title></titleInfo><name type="personal"><namePart type="given">Namiko</namePart><namePart type="family">Nishida</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><affiliation>Department of Molecular Behavioral Biology, Osaka Bioscience Institute, Suita, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tokiko</namePart><namePart type="family">Murakami</namePart><namePart type="termsOfAddress">BSc</namePart><affiliation>Department of Laboratory Medicine, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kunihiro</namePart><namePart type="family">Kadoh</namePart><namePart type="termsOfAddress">BSc</namePart><affiliation>Department of Laboratory Medicine, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rie</namePart><namePart type="family">Tohge</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Miki</namePart><namePart type="family">Yamanegi</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hidemoto</namePart><namePart type="family">Saiki</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Keita</namePart><namePart type="family">Ueda</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Psychiatry, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><affiliation>Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sadayuki</namePart><namePart type="family">Matsumoto</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Masatsune</namePart><namePart type="family">Ishikawa</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jun A.</namePart><namePart type="family">Takahashi</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hiroki</namePart><namePart type="family">Toda</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, Japan</affiliation><description>Correspondence: Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, 2‐4‐20 Ohgimachi, Kita‐ku, Osaka, Japan 530‐8480</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2011-11</dateIssued><dateCaptured encoding="w3cdtf">2010-07-31</dateCaptured><dateValid encoding="w3cdtf">2011-06-18</dateValid><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">2</extent><extent unit="references">31</extent><extent unit="words">5086</extent></physicalDescription><abstract lang="en">Background:: In Parkinson's disease, sleep disturbance is a common occurrence. Methods:: We evaluated sleep in 10 patients with Parkinson's disease (age, 57.5 ± 9.8 years; disease duration, 12.3 ± 2.7 years) before and after subthalamic nucleus deep brain stimulation using the Parkinson's disease sleep scale and polysomnography. Results:: Their total sleep scale scores and daytime sleepiness subscale scores significantly improved after subthalamic nucleus‐deep brain stimulation. The novel findings from this study significantly increased normal rapid eye movement sleep, and decreased abnormal rapid eye movement sleep without atonia after deep brain stimulation in patients with Parkinson's disease. The improved total sleep scale score correlated with decreased wakefulness after sleep onset. Moreover, improved daytime sleepiness correlated with increased normal rapid eye movement sleep time. Sleep improvement did not significantly correlate with resolution of motor complication or reduced dopaminergic dosages. Conclusions:: Subthalamic nucleus‐deep brain stimulation may have beneficial effects on sleep disturbance in advanced Parkinson's disease by restoring sleep architecture and normal rapid eye movement sleep. © 2011 Movement Disorder Society</abstract><note type="content">*Funding agencies: This study was supported by a Grant‐in‐Aid for Scientific Research (Startup #19800060 and C#22591625) from the Japan Society for the Promotion of Science.</note><note type="content">*Relevant conflicts of interest/financial disclosures: Hidemoto Saiki received research funding from Boehringer Ingelheim. Hiroki Toda received consultation fee from Medtronic.</note><note type="content">*Full financial disclosures and author roles may be found in the online version of this article.</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>sleep disturbance</topic><topic>rapid eye movement sleep</topic><topic>polysomnography</topic><topic>subthalamic nucleus deep brain stimulation</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. 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