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Medline ® Abstract for Reference 38

of 'Sleep-wake disturbances and sleep disorders in patients with dementia'

38
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Sleep and periodic leg movement patterns in drug-free patients with Parkinson's disease and multiple system atrophy.
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Wetter TC, Collado-Seidel V, Pollmächer T, Yassouridis A, Trenkwalder C
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Sleep. 2000 May;23(3):361-7.
 
STUDY OBJECTIVE: To assess and compare polygraphic sleep measures and periodic leg movement (PLM) patterns in untreated patients with mild to moderate Parkinson's disease (PD), multiple system atrophy (MSA) and healthy age-matched controls.
DESIGN: Polysomnographic recordings of 2 consecutive nights were performed in 10 patients with PD (mean age 65 years, mean Hoehn and Yahr stage 2.2), 10 patients with MSA (mean age 61 years) and in a control group of 10 healthy subjects (mean age 64 years). All patients and controls were free of antiparkinsonian medication and other centrally active drugs for 2 weeks prior to polysomnography.
SETTING: NA.
PATIENTS OR PARTICIPANTS: NA.
INTERVENTIONS: NA.
RESULTS: Sleep measures for the second night showed a significantly lower total sleep time, sleep efficiency and sleep period time in PD and MSA patients compared to healthy controls. PLM-indices during sleep and wakefulness were significantly higher in PD, but not in MSA patients compared to controls. Five patients with PD and 7 patients with MSA, but no control subject, showed abnormal rapid eye movement (REM) sleep features (i.e., REM sleep without atonia or behavioral manifestations typical for REM sleep behavior disorder).
CONCLUSIONS: Sleep disruption and increased motor activity during REM and non REM sleep are a frequent finding in PD and MSA. An increased PLM index in untreated PD patients may be due to a dopaminergic deficit and is probably not associated with dopaminergic treatment.
AD
Max Planck Institute of Psychiatry, Munich, Germany. wetter@mpipsykl.mpg.de
PMID