Journal article
Sleep-related problems in neurologic diseases
Chest, Vol.141(2), pp.528-544
02/2012
DOI: 10.1378/chest.11-0773
PMID: 22315121
Abstract
There is a strong association between sleep-related problems and neurologic diseases. Neurologic diseases of the CNS can directly cause sleep problems when sleep-wake mechanisms associated with the ascending reticular activating system are involved. The major sleep disorders associated with neurologic problems are outlined in the International Classification of Sleep Disorders, 2nd edition, as hypersomnias of central origin, sleep-related breathing disorders, the insomnias, circadian rhythm sleep disorders, sleep-related movement disorders, parasomnias, and sleep-related epilepsy. In a patient with CNS disease and excessive sleepiness, sleep-related breathing disorders should be a first concern, given the known association between obstructive sleep apnea (OSA) and cerebrovascular disease and the potential confounding effects that OSA might have on an otherwise compromised ischemic CNS penumbra. A basic knowledge of the anatomy and physiology of the sleep-wake mechanisms provides a rationale for pharmacologic intervention. Nonpharmacologic treatments are also important, especially when sleep-related breathing disorders are a concern. In addition, as patients with neurologic diseases are often prone to the adverse effects of many medications, the specific treatment regimen for any given individual should always include good sleep hygiene practices that use cognitive behavioral therapy.
Details
- Title: Subtitle
- Sleep-related problems in neurologic diseases
- Creators
- Mark Eric Dyken - Department of Neurology, Division of Sleep Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA. Electronic address: mark-dyken@uiowa.eduAdel K Afifi - Department of Pediatrics, Division of Pediatric Neurology, Behavior, and Development, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IADeborah C Lin-Dyken - Department of Pediatrics, Division of Pediatric Neurology, Behavior, and Development, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Chest, Vol.141(2), pp.528-544
- Publisher
- United States
- DOI
- 10.1378/chest.11-0773
- PMID
- 22315121
- ISSN
- 0012-3692
- eISSN
- 1931-3543
- Language
- English
- Date published
- 02/2012
- Academic Unit
- Neurology; Stead Family Department of Pediatrics; Developmental and Behavioral Pediatrics
- Record Identifier
- 9984013111502771
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