scholarly journals Images: Rhythmic movement disorder in a normal developing child with obstructive sleep apnea

Author(s):  
John Bishara ◽  
Ryan Mitacek
2017 ◽  
Vol 13 (10) ◽  
pp. 1213-1217 ◽  
Author(s):  
Giacomo Chiaro ◽  
Michelangelo Maestri ◽  
Silvia Riccardi ◽  
José Haba-Rubio ◽  
Silvia Miano ◽  
...  

Neurology ◽  
2017 ◽  
Vol 88 (12) ◽  
pp. 1120-1128 ◽  
Author(s):  
Victoria P. Mery ◽  
Priti Gros ◽  
Anne-Louise Lafontaine ◽  
Ann Robinson ◽  
Andrea Benedetti ◽  
...  

Objective:To assess the association between obstructive sleep apnea (OSA) and nonmotor symptoms (NMS), including cognitive dysfunction, in patients with Parkinson disease (PD).Methods:Patients with idiopathic PD, recruited from a movement disorder clinic, underwent overnight polysomnography. OSA was defined as an apnea-hypopnea index (AHI) ≥15/h. PD severity was assessed using the Hoehn & Yahr (H&Y) scale and the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS). NMS were assessed using the Montreal Cognitive Assessment (MoCA), Epworth Sleepiness Scale (ESS), Fatigue Severity Scale, Apathy Scale, Beck Depression Inventory, Hospital Depression and Anxiety Scale, and PD sleep Scale.Results:Sixty-seven patients (61.2% male), mean age 64.4 (SD 9.9) years and motor MDS-UPDRS 21.9 (12.6) using levodopa equivalent dose (LED) 752.4 (714.6) mg/d, were studied. OSA occurred in 47 patients (61.6%, mean AHI 27.1/h, SD 20.2/h), and NMS in 57 patients (85%). ESS and MoCA were associated with the AHI (ESS β = 0.0670, p = 0.031; MoCA β = −0.0520, p = 0.043, adjusted for age, sex, body mass index, LED, and H&Y). ESS was associated with respiratory arousals (β = 0.1015, p = 0.011) and intermittent hypoxemia (β = 0.1470, p = 0.006). MoCA was negatively associated with respiratory arousals (β = −0.0596, p = 0.049) but not intermittent hypoxemia.Conclusions:OSA is associated with sleepiness and cognitive dysfunction in PD, suggesting that OSA may be a reversible contributor to these NMS. Further studies will be required to evaluate whether OSA treatment can improve excessive sleepiness and cognitive dysfunction in PD.


SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A273-A273
Author(s):  
G Chiaro ◽  
M Maestri ◽  
S Riccardi ◽  
J Haba-Rubio ◽  
S Miano ◽  
...  

2012 ◽  
Vol 13 (5) ◽  
pp. 517-523 ◽  
Author(s):  
Esther W. Gieteling ◽  
Marije S. Bakker ◽  
Aarnoud Hoekema ◽  
Natasha M. Maurits ◽  
Wiebo H. Brouwer ◽  
...  

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