Agrypnia excitata: a human model to explore the derailment of sleep-wake cycle integrated control.

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY
Carlotta Mutti, Luca Baldelli, Pietro Cortelli, Liborio Parrino, Federica Provini
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引用次数: 0

Abstract

The commemoration of the 70th anniversary of rapid eye movement sleep discovery offers a unique possibility to reassess the peculiar organic condition of agrypnia excitata. Agrypnia excitata is characterized by a severe loss of sleep leading to a complete derangement of physiological sleep-wake cycle and body homeostasis. Agrypnia excitata is a definite clinico-neurophysiological condition characterized by: (1) slow-wave sleep loss with disruption of sleepwake cycle; (2) a 24-hr motor and autonomic overactivity; and (3) peculiar episodes of oneiric stupor. Agrypnia excitata may happen within different pathophysiologies, such as delirium tremens, Morvan's syndrome and fatal familial insomnia, suggesting some general reflections on the composition and function of the cerebral neuronal network generating wake and sleep behaviour and regulating body homeostasis, with a focus on rapid eye movement sleep.

Agrypnia excitata:探索睡眠-觉醒周期综合控制脱轨的人体模型。
快速眼动睡眠发现 70 周年纪念活动为重新评估兴奋性失眠症这一特殊的器质性病症提供了独特的可能性。兴奋性失眠症的特点是睡眠严重不足,导致生理睡眠-觉醒周期和体内平衡完全失调。兴奋性失眠症是一种明确的临床神经生理学症状,其特点是(1)慢波睡眠丧失,睡眠-觉醒周期紊乱;(2)24 小时运动和自主神经过度活跃;(3)特殊的嗜睡性昏迷。兴奋性失眠症可能发生在不同的病理生理学中,如震颤性谵妄、莫尔万综合征和致命性家族性失眠症,这表明对产生唤醒和睡眠行为以及调节身体平衡的大脑神经元网络的组成和功能有一些普遍的思考,重点是快速眼动睡眠。
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来源期刊
Journal of Sleep Research
Journal of Sleep Research 医学-临床神经学
CiteScore
9.00
自引率
6.80%
发文量
234
审稿时长
6-12 weeks
期刊介绍: The Journal of Sleep Research is dedicated to basic and clinical sleep research. The Journal publishes original research papers and invited reviews in all areas of sleep research (including biological rhythms). The Journal aims to promote the exchange of ideas between basic and clinical sleep researchers coming from a wide range of backgrounds and disciplines. The Journal will achieve this by publishing papers which use multidisciplinary and novel approaches to answer important questions about sleep, as well as its disorders and the treatment thereof.
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