BACKGROUND: Chiari malformations (CM) may result in the appearance of REM sleep behavior disorder (RBD) and sleep apnea syndrome (SAS) that can be considered markers of brain stem dysfunction. PURPOSE: To evaluate the frequency of RBD and SAS in patients with CM type I and II. METHOD: Were evaluated 103 patients with CM by means of full night polysomnography. Were scoring different sleep stages, frequency of abnormal movements (through video monitoring) and abnormal respiratory events. RESULTS: Of the 103 patients, 36 showed CM type I and 67 CM type II. Episodes of RBD were observed in 23 patients. Abnormal apnea-hypopnea index (AHI) was observed in 65 patients. CONCLUSION: The high rate of RBD suggests that this parassomnia and the increased frequency of central sleep apnea episodes, may be considered as a marker of progressive brain stem dysfunction.
BACKGROUND:Chiari malformations (CM) may result in the appearance of REM sleep behavior disorder (RBD) and sleep apnea syndrome (SAS) that can be considered markers of brain stem dysfunction. PURPOSE: To evaluate the frequency of RBD and SAS in patients with CM type I and II. METHOD: Were evaluated 103 patients with CM by means of full night polysomnography. Were scoring different sleep stages, frequency of abnormal movements (through video monitoring) and abnormal respiratory events. RESULTS: Of the 103 patients, 36 showed CM type I and 67 CM type II. Episodes of RBD were observed in 23 patients. Abnormal apnea-hypopnea index (AHI) was observed in 65 patients. CONCLUSION: The high rate of RBD suggests that this parassomnia and the increased frequency of central sleep apnea episodes, may be considered as a marker of progressive brain stem dysfunction.
Authors: Álex Ferré; María A Poca; María Dolore de la Calzada; Dulce Moncho; Aintzane Urbizu; Odile Romero; Gabriel Sampol; Juan Sahuquillo Journal: J Clin Sleep Med Date: 2019-01-15 Impact factor: 4.062
Authors: Anna Losurdo; Serena Dittoni; Elisa Testani; Chiara Di Blasi; Emanuele Scarano; Paolo Mariotti; Giovanna Paternoster; Concezio Di Rocco; Luca Massimi; Giacomo Della Marca Journal: J Clin Sleep Med Date: 2013-04-15 Impact factor: 4.062
Authors: Caroline Driessen; Koen F M Joosten; Joyce M G Florisson; Maarten Lequin; Marie-Lise C van Veelen; Rúben Dammers; Hansje Bredero-Boelhouwer; Robert C Tasker; Irene M J Mathijssen Journal: Childs Nerv Syst Date: 2012-09-25 Impact factor: 1.475