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Journal of Sleep Research
Article . 2015 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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NREM‐related parasomnias in Machado–Joseph disease: clinical and polysomnographic evaluation

Authors: Giselle Melo Fontes Silva; José Luiz Pedroso; Diogo Fernandes Dos Santos; Pedro Braga‐Neto; Lucila Bizari Fernandes Do Prado; Luciane Bizari Coin De Carvalho; Orlando G. P. Barsottini; +1 Authors

NREM‐related parasomnias in Machado–Joseph disease: clinical and polysomnographic evaluation

Abstract

SummarySpinocerebellar ataxias (SCA) are autosomal dominant neurodegenerative disorders that affect the cerebellum and its connections, and have a marked clinical and genetic variability. Machado–Joseph disease (MJD) or spinocerebellar ataxia type 3 (SCA3)—MJD/SCA3—is the most common SCA worldwide. MJD/SCA3 is characterized classically by progressive ataxia and variable other motor and non‐motor symptoms. Sleep disorders are common, and include rapid eye movement (REM) sleep behaviour disorder (RBD), restless legs syndrome (RLS), insomnia, excessive daytime sleepiness, excessive fragmentary myoclonus and sleep apnea. This study aims to focus upon determining the presence or not of non‐REM (NREM)‐related parasomnias in MJD/SCA 3, using data from polysomnography (PSG) and clinical evaluation. Forty‐seven patients with clinical and genetic diagnosis of MJD/SCA3 and 47 control subjects were evaluated clinically and by polysomnography. MJD/SCA3 patients had a higher frequency of arousals from slow wave sleep (P < 0.001), parasomnia complaints (confusional arousal/sleep terrors, P = 0.001; RBD, P < 0.001; and nightmares, P < 0.001), REM sleep without atonia (P < 0.001), periodic limb movements of sleep index (PLMSi) (P < 0.001), percentage of N3 sleep (P < 0.001) and percentage of N1 sleep (P < 0.001). These data show that NREM‐related parasomnias must be included in the spectrum of sleep disorders in MJD/SCA3 patients.

Country
Brazil
Keywords

Adult, Male, Parasomnias, Machado-Joseph disease, Polysomnography, Night Terrors, 610, Machado-Joseph Disease, Middle Aged, Dreams, spinocerebellar ataxia type 3, polysomnography, NREM-related parasomnias, Case-Control Studies, Restless Legs Syndrome, Humans, sleep disorders, Female, Arousal, Sleep

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
21
Top 10%
Average
Top 10%
Green
bronze