Restless Leg Syndrome and Sleep Quality in Lumbar Radiculopathy Patients

Background. To investigate the frequency of restless leg syndrome (RLS), sleep quality impairment, depression, fatigue, and sleep behavior disorder and to determine the effects of surgery on these parameters in radiculopathy patients resistant to conservative treatment.Methods. The present study included 66 lumbar radiculopathy patients, who were resistant to conservative treatment and had indication of surgery. Five different questionnaires were performed to assess depression (the Beck Depression Inventory (BDI)), sleep quality (the Pittsburgh Sleep Quality Index (PSQI)), fatigue (the Fatigue Severity Scale (FSS)), and presence of RLS and rapid eye movement sleep behavior disorder (RBD). The same questionnaires were also performed on a control group(n=61).Results. Of the radiculopathy patients, 68.1% had RLS and 92.4% had fatigue. Of the controls, 16.4% had RLS and 59% had fatigue. RBD was present in 8 (12.1%) patients and 3 (4.9%) controls. The PSQI revealed that sleep quality was impaired in 46 (69.7%) patients and 35 (57.4%) controls(P>0.05). The number of individuals having substantial depression according to the BDI was significantly higher in the patients than in the controls.Conclusions. There was a significant increase in the frequency of RLS, which was significantly decreased in the postoperative period in the radiculopathy patients.

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Sleep quality, REM sleep behavior disorder and daytime sleepiness in adults with and without Parkinson's

Archivos de Neurociencias ◽

10.31157/archneurosciencesmex.v26i2.271 ◽

2021 ◽

Vol 26 (2) ◽

pp. 20-25

Author(s):

Andrea Díaz Pacheco ◽

Jesús Moo Estrella

Keyword(s):

Parkinson’S Disease ◽

Sleep Quality ◽

Rem Sleep ◽

Daytime Sleepiness ◽

Rem Sleep Behavior Disorder ◽

Behavior Disorder ◽

Control Group ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Sleep Behavior

In Parkinson's disease (PD), poor sleep quality and sleep disorders are central part of the non-motor symptoms. The aim was to compare sleep quality (SQ), REM sleep behavior disorder (RBD) and excessive daytime sleepiness (EDS) among adults with and without Parkinson's disease (PD). A second objective was to know the relationship of SQ and RBD with EDS in patients with PD. Method. sixty adults (38 % women, mean age 66.7 ± 8.11 years), 50 % with PD diagnosis and 50 % healthy controls, Instruments: Epworth Sleepiness Scale, Sleep Quality Pittsburgh Index and REM Behavioral Disorder Sleep Questionnaire, which was designed for this study. Results. Differences were found in SQ (PD = 9.90 ±4.47 vs Control group = 7.23 ±4.71, t = 2.25, p = .028), and the percentage of cases with symptoms of RBD (PD = 30%, control group = 6.7%, ji2 = 5.455, p = .020). No differences were found in EDS (PD = 7.43 ± 5.46 vs Control group = 6.50 ± 5.28, t = .673, p = .504). According to the linear regression analysis, the increase in EDS was not associated with SQ, EDS was only associated with RBD. Conclusion, the PD group presents a poor sleep quality and a higher prevalence of RBD symptoms. EDS did not differ between adults with and without PD. However, RBD was associated with an increase in EDS in the PD group.

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0726 MOOD AND SLEEP QUALITY SYMPTOMS ARE NOT LINKED TO MILD COGNITIVE IMPAIRMENT IN RAPID EYE MOVEMENT SLEEP BEHAVIOR DISORDER

SLEEP ◽

10.1093/sleepj/zsx050.725 ◽

2017 ◽

Vol 40 (suppl_1) ◽

pp. A269-A269

Author(s):

P Bourgouin ◽

L Bernier-Lalonger ◽

F Escudier ◽

R B Postuma ◽

D Génier Marchand ◽

...

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Sleep Quality ◽

Eye Movement ◽

Behavior Disorder ◽

Rapid Eye Movement ◽

Rapid Eye Movement Sleep ◽

Sleep Behavior

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Sleep behavior of infants with infantile hemangioma treated with propranolol—a cohort study

European Journal of Pediatrics ◽

10.1007/s00431-021-04147-3 ◽

2021 ◽

Author(s):

Martin Theiler ◽

Nicole Knöpfel ◽

Susanne von der Heydt ◽

Agnes Schwieger-Briel ◽

Isabelle Luchsinger ◽

...

Keyword(s):

Cohort Study ◽

Sleep Quality ◽

Outcome Measures ◽

Negative Impact ◽

Behavioral Development ◽

Sleep Efficiency ◽

Sleep Pattern ◽

Control Group ◽

Infant Sleep ◽

Sleep Behavior

AbstractSleep problems are frequently reported in infants treated with propranolol for infantile hemangiomas, possibly serving as a marker for a negative impact on central nervous system function. In this cohort study, we objectively investigate the sleep behavior of infants with infantile hemangiomas on propranolol compared to a healthy, untreated control group. Sleep of propranolol-treated infants and controls was investigated using ankle actigraphy and a 24-h diary for 7–10 days at ages 3 and 6 months. The main outcome measures were the Number of Nighttime Awakenings and Sleep Efficiency. The main secondary outcome measures included 24-hour Total Sleep, daytime sleep behavior, and parent-rated infant sleep quality and behavioral development based on the Brief Infant Sleep Questionnaire (BISQ) and the age-appropriate Ages-and-Stages Questionnaire (ASQ), respectively. Fifty-four term-born infants were included in each cohort. No group difference in any investigated parameter was seen at age 3 months. At age 6 months, the propranolol group exhibited a decrease in Sleep Efficiency and a trend towards an increased Number of Nighttime Awakenings compared to the control group. Treated infants at 6 months also had shorter daytime waking periods. 24-hour Total Sleep was unaffected by propranolol. No negative impact of propranolol on subjective sleep quality and behavioral development was noted.Conclusion: Propranolol exerts a measurable yet mild impact on objectively assessed infants’ sleep measures. Behavioral developmental scores were unaffected. Our results support propranolol as first-line therapy for complicated infantile hemangiomas. What is Known:• Sleep disorders are frequently reported in infants with infantile hemangiomas treated with propranolol and often lead to treatment discontinuation.• Investigations of the sleep pattern in this patient group using objective measures are lacking. What is New:• The sleep pattern of propranolol-treated infants is assessed using actigraphy and a 24-h sleep diary and compared to healthy, untreated controls.• Propranolol leads to a decreased sleep efficiency at night and an increased demand of daytime sleep, yet effects are mild overall.

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