Journal article
Management of sleep disorders in stroke
Current treatment options in neurology, Vol.12(5), pp.379-395
09/2010
DOI: 10.1007/s11940-010-0089-2
PMID: 20842596
Abstract
Scientific studies have proven a very strong association between stroke and obstructive sleep apnea (OSA). The prevalence of OSA is very high in patients with acute stroke, and untreated OSA is a stroke risk factor. In the stroke patient population, symptoms of OSA may atypically appear as isolated insomnia, hypersomnia, a dysfunction of circadian rhythm, a parasomnia, or a sleep-related movement disorder. Thus, we believe that in patients with acute stroke, OSA should be addressed first, using full in-laboratory, attended polysomnography (PSG), before other specific sleep disorders are aggressively addressed with specific therapeutic interventions. When OSA is diagnosed, supportive techniques including the application of continuous positive airway pressure (CPAP) therapy, positional therapies, or both should be considered first-line treatments. If OSA is ruled out by PSG, the therapeutic emphasis for sleep-related complaints is routinely based on instituting good sleep hygiene practices and using cognitive behavioral techniques (cognitive therapies, sleep restriction, stimulus control, and progressive relaxation therapies) because patients with stroke may be prone to the adverse effects of many of the medications that are otherwise routinely prescribed for a variety of specific sleep disorders.
Details
- Title: Subtitle
- Management of sleep disorders in stroke
- Creators
- Kyoung Bin Im - Departments of Internal Medicine and Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, 52242, USA, kyoungbin-im@uiowa.eduScott StraderMark Eric Dyken
- Resource Type
- Journal article
- Publication Details
- Current treatment options in neurology, Vol.12(5), pp.379-395
- Publisher
- United States
- DOI
- 10.1007/s11940-010-0089-2
- PMID
- 20842596
- ISSN
- 1092-8480
- eISSN
- 1534-3138
- Language
- English
- Date published
- 09/2010
- Academic Unit
- Neurology; Psychiatry
- Record Identifier
- 9984020726302771
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