Sleep apnea and REM sleep behavior disorder in patients with Chiari malformations

Arquivos de Neuro-Psiquiatria

Paulo Sérgio A. Henriques-filho²  Riccardo Pratesi¹ 

[1] ,Brasilia University School of Medicine Program in Medical SciencesBrasilia,Brazil

关键词: Chiari malformation;    polysomnography;    parasomnia;    REM sleep behavior disorder;    RBD;    sleep apnea syndrome;    SAS;    central sleep apnea;    obstructive sleep apnea;    malformação de Chiari;    polissonografia;    parassonia;    distúrbio comportamental do sono REM;    desordem respiratória do sono;    apnéia central do sono;    apnéia obstrutiva do sono;   

DOI  :  10.1590/S0004-282X2008000300012

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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