Journal of Sleep Research最新文献

筛选
英文 中文
Introduction to the Special Issue on rapid eye movement sleep. 快速眼动睡眠特刊简介。
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-09 DOI: 10.1111/jsr.14396
Liborio Parrino, Ivana Rosenzweig
{"title":"Introduction to the Special Issue on rapid eye movement sleep.","authors":"Liborio Parrino, Ivana Rosenzweig","doi":"10.1111/jsr.14396","DOIUrl":"https://doi.org/10.1111/jsr.14396","url":null,"abstract":"","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14396"},"PeriodicalIF":3.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Objective sleep monitoring at home in older adults: A scoping review.
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-09 DOI: 10.1111/jsr.14436
Sarah Nauman Ghazi, Anders Behrens, Jessica Berner, Johan Sanmartin Berglund, Peter Anderberg
{"title":"Objective sleep monitoring at home in older adults: A scoping review.","authors":"Sarah Nauman Ghazi, Anders Behrens, Jessica Berner, Johan Sanmartin Berglund, Peter Anderberg","doi":"10.1111/jsr.14436","DOIUrl":"https://doi.org/10.1111/jsr.14436","url":null,"abstract":"<p><p>Inadequate sleep in older adults is linked to health issues such as frailty, cognitive impairment and cardiovascular disorders. Maintaining regular sleep patterns is important for healthy aging, making effective sleep monitoring essential. While polysomnography is the gold-standard for diagnosing sleep disorders, its regular use in home settings is limited. Alternative objective monitoring methods in the home can offer insights into natural sleep patterns and factors affecting them without the limitations of polysomnography. This scoping review aims to examine current technologies, sensors and sleep parameters used for home-based sleep monitoring in older adults. It also aims to explore various predictors and outcomes associated with sleep to understand the factors of sleep monitoring at home. We identified 54 relevant articles using PubMed, Scopus, Web of Science and an AI tool (Research Rabbit), with 48 studies using wearable technologies and eight studies using non-wearable technologies. Further, six types of sensors were utilized. The most common technology employed was actigraphy wearables, while ballistocardiography and electroencephalography were less common. The most frequent objective parameters of sleep measured were total sleep time, wakeup after sleep onset and sleep efficiency, with only six studies evaluating sleep architecture in terms of sleep stages. Additionally, six categories of predictors and outcomes associated with sleep were analysed, including Health-related, Environmental, Interventional, Behavioural, Time and Place, and Social associations. These associations correlate with total sleep time, wakeup after sleep onset and sleep efficiency, and include in-bed behaviours, exterior housing conditions, aerobic exercise, living place, relationship status, and seasonal thermal environments.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14436"},"PeriodicalIF":3.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Auditory stimulation during deep sleep enhances total slow-wave activity in a young cohort: A feasibility trial.
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-09 DOI: 10.1111/jsr.14404
Gary Garcia Molina, Camilla Matthews, Annika Myers, Beth Peterson, Emma Strainis, Brady Riedner, Ana Maria Vascan, Giulio Tononi, Stephanie Jones
{"title":"Auditory stimulation during deep sleep enhances total slow-wave activity in a young cohort: A feasibility trial.","authors":"Gary Garcia Molina, Camilla Matthews, Annika Myers, Beth Peterson, Emma Strainis, Brady Riedner, Ana Maria Vascan, Giulio Tononi, Stephanie Jones","doi":"10.1111/jsr.14404","DOIUrl":"https://doi.org/10.1111/jsr.14404","url":null,"abstract":"<p><p>Cognitive, metabolic and sleep benefits associated with enhancement of sleep slow waves using closed-loop auditory stimulation have been reported in adults but not in adolescents, especially in home settings. Seventeen volunteers (10F/7M; age range: 13-18 years old) participated in a 2-week, single-blind, crossover study. STIM (auditory stimulation ON) and SHAM (auditory stimulation at zero-volume) were each applied for a week (randomized order). Participants used a self-applied, single-electroencephalogram, wearable device at home. An embedded algorithm performed real-time sleep staging, detected slow-wave sleep and delivered auditory tones separated by a 1-s inter-tone interval. After each sleep session, participants completed questionnaires to report sleep quality, sleepiness (Karolinska Sleepiness Scale), and performed tasks to quantify vigilance (Psychomotor Vigilance Task) and working memory (continuous working memory performance task). Sleep architecture, count of microarousals, slow-wave amplitude, total and mean slow-wave activity (electroencephalogram power in the 0.5-4 Hz frequency band) during non-rapid eye movement sleep, sleepiness level, and cognitive performance metrics were compared between STIM and SHAM. The slow-wave amplitude during stimulation, total slow-wave activity and mean slow-wave activity were significantly higher in the STIM condition (+10.7%, +7.38% and + 7.57%). The count of microarousals, and the power in alpha and beta bands were not different between SHAM and STIM. The Pearson correlation between slow-wave activity enhancement and sleep duration (-0.83; p < 1e - 4) suggested a significant decrease in sleep duration proportional to slow-wave activity enhancement. Trending results (p < 0.1) in the STIM condition included higher number of correct continuous working memory performance task responses (+1.01 correct; p = 0.07). This research provides feasibility of auditory stimulation-based slow-wave activity in a young population.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14404"},"PeriodicalIF":3.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations among chronotype and eating habits in adolescents are affected by study shift: A cross-sectional study.
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-08 DOI: 10.1111/jsr.14434
Raphael Corrêa Martins, Flávia Dos Santos Barbosa Brito, Cintia Chaves Curioni
{"title":"Associations among chronotype and eating habits in adolescents are affected by study shift: A cross-sectional study.","authors":"Raphael Corrêa Martins, Flávia Dos Santos Barbosa Brito, Cintia Chaves Curioni","doi":"10.1111/jsr.14434","DOIUrl":"https://doi.org/10.1111/jsr.14434","url":null,"abstract":"<p><p>We investigated the influence of chronotype on eating habits among adolescents attending schools with morning (07:00 hours-12:00 hours) or afternoon (13:00 hours-18:00 hours) shifts, hypothesizing that incompatibility of study schedules may be related to dietary choices. In this cross-sectional study, 734 adolescents (aged 14-19 years) completed an online questionnaire covering eating habits, chronotype, sleep duration, social jet lag, socioeconomic data, physical activity and anthropometric measures. Odds ratios with 95% confidence intervals were estimated using adjusted logistic regression, stratified by study shift. In the morning shift, a morning chronotype was associated with higher odds of breakfast (odds ratio: 3.47; 95% confidence interval: 1.13-10.71) compared with an evening chronotype. Both morning and intermediate chronotypes were associated with higher odds of morning snack (odds ratio: 3.52; 95% confidence interval: 1.13-10.93; and odds ratio: 2.87; 95% confidence interval: 1.18-6.99) and lower odds of fast foods (odds ratio: 0.09; 95% confidence interval: 0.02-0.49; and odds ratio: 0.19; 95% confidence interval: 0.58-0.62). In the afternoon shift, a morning chronotype was associated with higher odds of breakfast (odds ratio: 5.22; 95% confidence interval: 1.85-14.72), beans (odds ratio: 3.57; 95% confidence interval: 1.19-10.74), vegetables (odds ratio: 3.52; 95% confidence interval: 1.28-9.69) and fruits (odds ratio: 4.50; 95% confidence interval: 1.55-13.07) compared with an evening chronotype. Intermediate chronotype was associated with higher odds of breakfast (odds ratio: 3.71; 95% confidence interval: 2.03-6.77), morning snacks (odds ratio: 2.45; 95% confidence interval: 1.09-5.50), vegetables (odds ratio: 1.92; 95% confidence interval: 1.03-3.58) and fruits (odds ratio: 2.50; 95% confidence interval: 1.27-4.89), and lower odds of high-energy intake post-dinner (odds ratio: 0.43; 95% confidence interval: 0.22-0.85). Adolescents with an evening chronotype had lower odds of having breakfast. Both chronotype and study shifts influenced specific food consumption habits.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14434"},"PeriodicalIF":3.4,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does sleep help children to generalise features like adults?
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-08 DOI: 10.1111/jsr.14432
Eva-Maria Kurz, Clara Marie Schreiber, Konstantin Kölle, Zeynep Tunçel, Paula Theresa Meyer, Hong-Viet V Ngo-Dehning, Annette Conzelmann, Alexander Prehn-Kristensen
{"title":"Does sleep help children to generalise features like adults?","authors":"Eva-Maria Kurz, Clara Marie Schreiber, Konstantin Kölle, Zeynep Tunçel, Paula Theresa Meyer, Hong-Viet V Ngo-Dehning, Annette Conzelmann, Alexander Prehn-Kristensen","doi":"10.1111/jsr.14432","DOIUrl":"https://doi.org/10.1111/jsr.14432","url":null,"abstract":"<p><p>Children and adults have been shown to benefit from sleep with regard to the consolidation of declarative memories. Especially during childhood, the generalisation of information from social and non-social contexts is important for adaptable behaviour in new situations and might show specific features in children. Here, we investigated whether adults (n = 18) and children (n = 19) differ in their generalisation of features assessed in wake and sleep conditions. In a social paradigm, certain face features were associated with different types of offers (fair, unfair, friendly). While children tended to better recognise these faces, adults were better than children at associating the type of offer to unknown faces sharing these features with the previously encoded faces in the sleep condition. To assess generalisation of features in a non-social context, a probabilistic evaluative conditioning paradigm was used, where stimuli were associated with positive or negative values. We found no difference between children and adults or between the sleep and wake condition in the change in evaluation of the conditioned stimuli when paired congruently with a predefined value (positive/negative). Together, our results suggest a differential feature generalisation from mainly social contexts in children compared with adults.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14432"},"PeriodicalIF":3.4,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting circadian phase in community-dwelling later-life adults using actigraphy data.
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-08 DOI: 10.1111/jsr.14425
Caleb Mayer, Dae Wook Kim, Meina Zhang, Minki P Lee, Daniel B Forger, Helen J Burgess, Chooza Moon
{"title":"Predicting circadian phase in community-dwelling later-life adults using actigraphy data.","authors":"Caleb Mayer, Dae Wook Kim, Meina Zhang, Minki P Lee, Daniel B Forger, Helen J Burgess, Chooza Moon","doi":"10.1111/jsr.14425","DOIUrl":"https://doi.org/10.1111/jsr.14425","url":null,"abstract":"<p><p>The accurate estimation of circadian phase in the real-world has a variety of applications, including chronotherapeutic drug delivery, reduction of fatigue, and optimal jet lag or shift work scheduling. Recent work has developed and adapted algorithms to predict time-consuming and costly laboratory circadian phase measurements using mathematical models with actigraphy or other wearable data. Here, we validate and extend these results in a home-based cohort of later-life adults, ranging in age from 58 to 86 years. Analysis of this population serves as a valuable extension to our understanding of phase prediction, since key features of circadian timekeeping (including circadian amplitude, response to light stimuli, and susceptibility to circadian misalignment) may become altered in older populations and when observed in real-life settings. We assessed the ability of four models to predict ground truth dim light melatonin onset, and found that all the models could generate predictions with mean absolute errors of approximately 1.4 h or below using actigraph activity data. Simulations of the model with activity performed as well or better than the light-based modelling predictions, validating previous findings in this novel cohort. Interestingly, the models performed comparably to actigraph-derived sleep metrics, with the higher-order and nonphotic activity-based models in particular demonstrating superior performance. This work provides evidence that circadian rhythms can be reasonably estimated in later-life adults living in home settings through mathematical modelling of data from wearable devices.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14425"},"PeriodicalIF":3.4,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends and variation in issuance of high-cost narcolepsy drugs by NHS England organisations and regions from 2019 to 2022.
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-08 DOI: 10.1111/jsr.14415
Frederick van Someren, Milan Wiedemann, Charlotte Warren-Gash, Martina Sykorova, Hema Mistry, Michelle A Miller, Guy Leschziner, Ellen Nolte, Aurélien Belot, Ian E Smith, Tim Quinnell, Sofia H Eriksson, Helen Strongman
{"title":"Trends and variation in issuance of high-cost narcolepsy drugs by NHS England organisations and regions from 2019 to 2022.","authors":"Frederick van Someren, Milan Wiedemann, Charlotte Warren-Gash, Martina Sykorova, Hema Mistry, Michelle A Miller, Guy Leschziner, Ellen Nolte, Aurélien Belot, Ian E Smith, Tim Quinnell, Sofia H Eriksson, Helen Strongman","doi":"10.1111/jsr.14415","DOIUrl":"https://doi.org/10.1111/jsr.14415","url":null,"abstract":"<p><p>Clinicians and people with narcolepsy report varied access to higher-cost narcolepsy treatments in England associated with variations in national and local commissioning. There are no publicly available data quantifying use of these drugs to support policy decisions. We therefore aimed to describe national, regional and local prescribing trends for higher-cost narcolepsy drugs using new national databases. We used the English prescribing dataset and secondary care medicines data to quantify volumes of high-cost narcolepsy drugs issued between 01 January 2019 and 31 December 2022. Volumes were converted to World Health Organisation defined daily doses, to estimate the monthly number of defined daily doses of sodium oxybate, pitolisant and solriamfetol issued by each integrated care board and region. We compared national, integrated care board, and regional level issuance of each drug over time. Analysis of almost 6000 primary care prescriptions and 2000 cumulative months of secondary care pharmacy stock data, issued across 41/42 integrated care boards in England, revealed a 49.1% increase in issuance of high-cost narcolepsy drugs between 2019 and 2022. In 2022, sodium oxybate accounted for 52.66% of issuance, pitolisant 43.09% and solriamfetol 4.25%, with 22.31% of defined daily doses issued in primary care. Three integrated care boards (NHS Southeast London, NHS Cumbria and North-East, NHS Cheshire and Merseyside) predominate, issuing 56.33% of all defined daily doses. Variations between integrated care boards and regions differ substantially by drug and route of issuance. Our findings describe substantial variation in the use of specialist narcolepsy drugs in England, and highlight the untapped potential of using large, public domain datasets to publicly review higher-cost drug prescribing.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14415"},"PeriodicalIF":3.4,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond larks and owls: Revisiting the circadian typology using the MESSi scale and a cluster-based approach.
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-03 DOI: 10.1111/jsr.14403
Joanna Gorgol, Christoph Randler, Maciej Stolarski, Nadine Kalb
{"title":"Beyond larks and owls: Revisiting the circadian typology using the MESSi scale and a cluster-based approach.","authors":"Joanna Gorgol, Christoph Randler, Maciej Stolarski, Nadine Kalb","doi":"10.1111/jsr.14403","DOIUrl":"https://doi.org/10.1111/jsr.14403","url":null,"abstract":"<p><p>Chronopsychological research typically applied the morningness-eveningness dimension, resulting in a distinction between morning, intermediate, and evening chronotypes. However, in recent years, new measures have been developed that transcend the traditional \"morning larks\" vs. \"night owls\" dichotomy and better capture the complexity of individual differences in circadian rhythmicity. One such measure that addresses the multidimensional character of the circadian rhythm is the Morningness-Eveningness-Stability Scale improved (MESSi) which comprises three dimensions: morning affect, eveningness, and distinctness. However, delineating specific chronotypes using the cut-off points, as was commonly done for other established scales, is not possible in the case of MESSi due to its multidimensionality. In the present paper, we provide a first attempt to introduce a cluster-based approach to deal with MESSi scores. For this purpose, we determined the number of clusters to be extracted using data from our previous study conducted in Poland (N = 1106). Next, we attempted to replicate this cluster solution in another Polish sample (N = 768) and a German sample (N = 637). Finally, we also intended to illustrate how individuals assigned to the established clusters differ in terms of sleep parameters and other differential variables such as positive and negative affect, personality traits, depressive and anxiety symptoms, self-regulation, and self-efficacy. After segmenting MESSi scores by cluster analysis in the three samples we found support for a four-cluster solution, including four circadian profiles which we propose to label \"intermediate-finches\", \"hardy larks\", \"night owls\", and \"vulnerable larks\". This is the first attempt to introduce a cluster-based, multi-dimensional approach to dealing with MESSi scores.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14403"},"PeriodicalIF":3.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the psychometric properties of the Biphasic Sleep Scale (BiSS): A novel 16-item self-report measure.
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-02 DOI: 10.1111/jsr.14424
Haitham Jahrami, Khaled Trabelsi, Amir H Pakpour, Achraf Ammar, Waqar Husain, Seithikurippu R Pandi-Perumal, Zahra Saif, Mary V Seeman, Michael V Vitiello
{"title":"Assessing the psychometric properties of the Biphasic Sleep Scale (BiSS): A novel 16-item self-report measure.","authors":"Haitham Jahrami, Khaled Trabelsi, Amir H Pakpour, Achraf Ammar, Waqar Husain, Seithikurippu R Pandi-Perumal, Zahra Saif, Mary V Seeman, Michael V Vitiello","doi":"10.1111/jsr.14424","DOIUrl":"https://doi.org/10.1111/jsr.14424","url":null,"abstract":"<p><p>Biphasic sleep, characterized by nighttime sleep plus daytime napping, has demonstrated some cognitive, health and performance impacts when compared with consolidated monophasic sleep. This motivated the development and validation of the Biphasic Sleep Scale, reported in this paper. Scale development involved a literature review, expert input and individual interviews. The 16-item Biphasic Sleep Scale was then administered to an international online sample (n = 6965) alongside well-established validated sleep scales. To ensure a robust evaluation of the Biphasic Sleep Scale, the sample was divided into two parts: with 15% (n = 1000) of the participants allocated to the exploratory analytic phase; and the remaining 85% (n = 5965) reserved for confirmatory analyses. Psychometric evaluation included both exploratory and confirmatory factor analysis, reliability analysis, correlations, network analysis, and item response theory. Exploratory factor analysis indicated a three-factor structure assessing daytime napping as to likelihood, consequences and effect on nighttime sleep. Confirmatory factor analysis largely confirmed this model with no sex invariance. The three-factor structure showed adequate fit. The Biphasic Sleep Scale demonstrated good internal consistency (α = 0.88, Ω = 0.89). Network analysis revealed varying centrality and connectivity of items. Item response theory found items covering a range of biphasic sleep levels. Significant positive correlations with sleep criteria provided evidence for convergent validity. Further testing is warranted to confirm the factor structure, refine model parsimony, and establish clinical utility. With additional validation, it is hoped that the Biphasic Sleep Scale will become a widely utilized tool.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14424"},"PeriodicalIF":3.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corticosteroid-responsive narcolepsy type II after COVID-19: A relevant differential diagnosis of post-COVID syndrome (a case report).
IF 3.4 3区 医学
Journal of Sleep Research Pub Date : 2024-12-02 DOI: 10.1111/jsr.14406
Erika C S Künstler, Solveig Menrad, Isabelle Utech, Kathrin Finke, Sven Rupprecht
{"title":"Corticosteroid-responsive narcolepsy type II after COVID-19: A relevant differential diagnosis of post-COVID syndrome (a case report).","authors":"Erika C S Künstler, Solveig Menrad, Isabelle Utech, Kathrin Finke, Sven Rupprecht","doi":"10.1111/jsr.14406","DOIUrl":"https://doi.org/10.1111/jsr.14406","url":null,"abstract":"<p><p>Excessive daytime sleepiness is a possible symptom of post-COVID syndrome and is also the cardinal symptom of narcolepsy, a rare life-long sleep disorder with a possible autoimmune background. Recent reports indicate that COVID-19 infection may trigger narcolepsy. However, it remains unclear how best to identify and treat such cases. A 25-year-old male developed daytime sleepiness after COVID-19 infection. A diagnosis of narcolepsy type II was made based on pathologically shortened sleep latencies in polysomnography and multiple sleep latency tests (MSLT) together with several sleep-onset REM-sleep periods (SOREMs). Pupillography and neuropsychological testing revealed reduced alertness levels. Hypocretin levels in the cerebrospinal fluid were borderline. Based on the postulated autoimmune background of narcolepsy, we performed an intravenous high-dose corticosteroid pulse therapy with methylprednisolone. Narcoleptic symptoms immediately and consistently remitted after the corticosteroid pulse. Follow-up after 4 months revealed normalisation of sleep latencies, no further SOREMs in the MSLT, and increased alertness in pupillography and neurocognitive testing. No further wakefulness promoting drug therapy was required. Narcolepsy should be considered in the differential diagnosis of post-COVID syndrome with leading symptoms of daytime sleepiness. Furthermore, immunosuppressive therapy may offer a treatment option in managing an otherwise lifelong disorder in select cases.</p>","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e14406"},"PeriodicalIF":3.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信