Subjective and objective features of sleep disorders in patients with acute ischemic or haemorrhagic stroke: It is not only sleep apnoea which is important

Pajėdienė, Evelina; Pajėda, Adomas; Urniežiūtė, Gintarė; Paulėkas, Erlandas; Liesienė, Vanda; Bilevičiūtė-Ljungar, Indrė; Jurkevičienė, Giedrė; Daiva, Rastenyte; Petrikonis, Kęstutis

doi:10.1016/j.mehy.2019.109512

Cited by 16 publications

(14 citation statements)

References 20 publications

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“…Cheyne-Stokes breathing has been reported to be the primary type of CSA but seems unrelated to specific lesion sites [ 59 , 66 ]. In rare cases, stroke patients might suffer from complex sleep apnea (both OSA and CSA), which is likely to be neglected [ 66 , 67 ].…”

Section: Breathing-related Sleep Disorders (Bsds) and Strokementioning

confidence: 99%

Sleep Disorders in Stroke: An Update on Management

2021

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Stroke is a leading cause of disability and mortality all over the world. Due to an aging population, the incidence of stroke is rising significantly, which has led to devastating consequences for patients. In addition to traditional risk factors such as age, hypertension, hyperlipidemia, diabetes and atrial fibrillation, sleep disorders, as independent modifiable risk factors for stroke, have been highlighted increasingly. In this review, we provide an overview of common types of current sleep disturbances in cerebrovascular diseases, including insomnia, hypersomnia, breathing-related sleep disorders, and parasomnias. Moreover, evidence-based clinical therapeutic strategies and pitfalls of specific sleep disorders after stroke are discussed. We also review the neurobiological mechanisms of these treatments as well as their effects on stroke. Since depression after stroke is so prevalent and closely related to sleep disorders, treatments of post-stroke depression are also briefly mentioned in this review article.

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Section: Breathing-related Sleep Disorders (Bsds) and Strokementioning

confidence: 99%

Sleep Disorders in Stroke: An Update on Management

2021

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“…It is the most common type of sleep disorder. Insomnia is a common sleep problem that is particularly common in perioperative patients ( 17 , 18 ).…”

Section: Perioperative Sleep Disordermentioning

confidence: 99%

Perioperative Sleep Disorder: A Review

et al. 2021

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Patients in the perioperative period usually present with different types and degrees of sleep disorders, which can severely affect their post-operative outcomes. Multiple risk factors may lead to the occurrence of perioperative sleep disorders, including personal factors, psychological factors, surgery factors, and environmental factors. In this review, we summarize the potential risk factors for perioperative sleep disorders during hospitalization. And it also provides an overview of perioperative outcomes and potential therapeutic prevention of perioperative sleep disorders. However, the further search is necessary to investigate the effectiveness and safety of preventions in the clinical practice and push forward the therapies.

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“…It has been suggested that epilepsy and migraine could share a common pathophysiology with RBD, but epilepsy is also an important differential diagnosis to RBD [20, 21]. Although somewhat rare, it is known that RBD can occur after an acute stroke [22]. RBD can also be seen together with other sleep disorders, especially periodic limb movements, as well as insomnia and circadian rhythm disorders [23-25].…”

Section: Discussionmentioning

confidence: 99%

Morbidity, Mortality, and Conversion to Neurodegenerative Diseases in Patients with REM Sleep Behavior Disorder and REM Sleep without Atonia

Asah

Frandsen

Ibsen³

et al. 2021

Neuroepidemiology

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Introduction: The underlying pathophysiology of idiopathic REM sleep behavior disorder (iRBD) is not fully understood, although the condition is currently recognized as an early-stage alpha-synuclein disorder. We evaluated the morbidity, mortality, and rate of conversion to a neurodegenerative disorder in a national group of patients. Methods: All patients in Denmark with a diagnosis of RBD between 2006 and 2013 were identified from the Danish National Patient Registry (NPR) records. We excluded patients who had received a diagnosis of narcolepsy or any of the following neurodegenerative diseases before their diagnosis of RBD: Parkinson’s disease, multiple system atrophy, progressive supranuclear paralysis, Alzheimer’s, and Lewy body dementia. We used randomly chosen controls matched for age, gender, and municipality. Results: In total, 246 iRBD patients and 982 matched controls were analyzed. The mortality rate was the same in both groups. The morbidity rate was significantly higher in the years before and after an RBD diagnosis, due to a wide variety of disorders in the following major disease groups: mental/behavioral disorders; endocrine/metabolic diseases; diseases of the eye; diseases of the nervous, digestive, musculoskeletal, circulatory, and respiratory systems; abnormal findings not classified elsewhere; external causes; and factors influencing health status. The conversion rate from RBD to a neurodegenerative disease was 13% over the 8 years after a diagnosis of RBD. Conclusions: A diagnosis of RBD is associated with increased morbidity several years before and after a diagnosis is made. Patients have a higher risk of converting to a neurodegenerative disorder than matched controls. Mortality rates are unchanged.

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Subjective and objective features of sleep disorders in patients with acute ischemic or haemorrhagic stroke: It is not only sleep apnoea which is important

Cited by 16 publications

References 20 publications

Sleep Disorders in Stroke: An Update on Management

Sleep Disorders in Stroke: An Update on Management

Perioperative Sleep Disorder: A Review

Morbidity, Mortality, and Conversion to Neurodegenerative Diseases in Patients with REM Sleep Behavior Disorder and REM Sleep without Atonia

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