Sleep-disordered breathing and cerebral small vessel disease—acute and 6 months after ischemic stroke

Simonsen, Sofie Amalie; Andersen, Adam Vittrup; West, Anders Sode; Wolfram, Frauke; Jennum, Poul; Iversen, Helle K.

doi:10.1007/s11325-021-02482-1

Cited by 4 publications

(1 citation statement)

References 25 publications

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“…In a recent meta-analysis performed by Seiler et al [2] conducted on 86 studies for a total of 7096 patients, the prevalence of SA in patients with acute stroke or TIA ranged between 30% (with an AHI > 30/h, consistent with severe SDB) up to 71% (with an AHI > 5/h, consistent with mild SDB); only a slightly lower prevalence was observed in the chronic phase. However, most of the studies included in the meta-analysis evaluated the acute phase, while only few studies [32][33][34][35][36][37] evaluated the intra-individual evolution from acute to the chronic phase. Moreover, few studies [33][34][35][36]38] evaluated the evolution of SDB in stroke by means of polysomnography (PSG), the standard diagnostic test for SDB in stroke patients [39], reporting an improvement, but not a resolution, from acute to sub-acute/chronic phase, of the SDB.…”

Section: Sleep Apnea In Stroke Patients: New Onset or Pre-existing Co...mentioning

confidence: 99%

Sleep and Stroke: Opening Our Eyes to Current Knowledge of a Key Relationship

Brunetti

Rollo

Broccolini

et al. 2022

Curr Neurol Neurosci Rep

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Purpose of Review To elucidate the interconnection between sleep and stroke. Recent Findings Growing data support a bidirectional relationship between stroke and sleep. In particular, there is strong evidence that sleep-disordered breathing plays a pivotal role as risk factor and concur to worsening functional outcome. Conversely, for others sleep disorders (e.g., insomnia, restless legs syndrome, periodic limb movements of sleep, REM sleep behavior disorder), the evidence is weak. Moreover, sleep disturbances are highly prevalent also in chronic stroke and concur to worsening quality of life of patients. Promising novel technologies will probably allow, in a near future, to guarantee a screening of commonest sleep disturbances in a larger proportion of patients with stroke. Summary Sleep assessment and management should enter in the routinary evaluation of stroke patients, of both acute and chronic phase. Future research should focus on the efficacy of specific sleep intervention as a therapeutic option for stroke patients.

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