Simone B Duss1,2, Anne-Kathrin Brill2,3, Panagiotis Bargiotas1,2, Laura Facchin4, Filip Alexiev1,2, Mauro Manconi1,5, Claudio L Bassetti6,7,8,9. 1. Department of Neurology, Bern University Hospital (Inselspital) and University of Bern, Freiburgstrasse 18, 3010, Bern, Switzerland. 2. Interdisciplinary Sleep-Wake-Epilepsy-Center, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland. 3. Department of Pulmonary Medicine, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland. 4. Center for Experimental Neurology (ZEN), Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland. 5. Sleep and Epilepsy Center, Neurocenter of Southern Switzerland, Civic Hospital of Lugano, Lugano, Switzerland. 6. Department of Neurology, Bern University Hospital (Inselspital) and University of Bern, Freiburgstrasse 18, 3010, Bern, Switzerland. claudio.bassetti@insel.ch. 7. Interdisciplinary Sleep-Wake-Epilepsy-Center, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland. claudio.bassetti@insel.ch. 8. Center for Experimental Neurology (ZEN), Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland. claudio.bassetti@insel.ch. 9. Department of Neurology, Sechenov University, Moscow, Russian Federation. claudio.bassetti@insel.ch.
Abstract
PURPOSE OF REVIEW: Sleep-wake disorders (SWD) are common not only in the general population but also in stroke patients, in whom SWD may be pre-existent or appear "de novo" as a consequence of brain damage. Despite increasing evidence of a negative impact of SWD on cardiocerebrovascular risk, cognitive functions, and quality of life, SWD are insufficiently considered in the prevention and management of patients with stroke. This narrative review aims at summarizing the current data on the bidirectional link between SWD and stroke. RECENT FINDINGS: Several studies have demonstrated that sleep-disordered breathing (SDB) is an independent risk factor for stroke and has a detrimental effect on stroke recovery. Short and long sleep duration and possibly other SWD (e.g., insomnia, circadian rhythm disorders) may also increase the risk of stroke and influence its outcome. Data on SDB treatment increasingly indicate a benefit on stroke risk and evolution while treatment of other SWD is still limited. A systematic search for SWD in stroke patients is justified due to their high frequency and their negative impact on stroke outcomes. Clinicians should actively consider available treatment options.
PURPOSE OF REVIEW: Sleep-wake disorders (SWD) are common not only in the general population but also in strokepatients, in whom SWD may be pre-existent or appear "de novo" as a consequence of brain damage. Despite increasing evidence of a negative impact of SWD on cardiocerebrovascular risk, cognitive functions, and quality of life, SWD are insufficiently considered in the prevention and management of patients with stroke. This narrative review aims at summarizing the current data on the bidirectional link between SWD and stroke. RECENT FINDINGS: Several studies have demonstrated that sleep-disordered breathing (SDB) is an independent risk factor for stroke and has a detrimental effect on stroke recovery. Short and long sleep duration and possibly other SWD (e.g., insomnia, circadian rhythm disorders) may also increase the risk of stroke and influence its outcome. Data on SDB treatment increasingly indicate a benefit on stroke risk and evolution while treatment of other SWD is still limited. A systematic search for SWD in strokepatients is justified due to their high frequency and their negative impact on stroke outcomes. Clinicians should actively consider available treatment options.
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