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Sleep disorders in Parkinson's disease.
Clin Cornerstone. 2004; 6 Suppl 1A:S7-15.CC

Abstract

Depression, dementia, and physiologic changes contribute to the high prevalence of sleep disturbances in patients with Parkinson's disease (PD). Antiparkinsonian drugs also play a role in insomnia by increasing daytime sleepiness and affecting motor symptoms and depression. Common types of sleep disturbances in PD patients include nocturnal sleep disruption and excessive daytime sleepiness, restless legs syndrome, rapid eye movement sleep behavior disorder, sleep apnea, sleep walking and sleep talking, nightmares, sleep terrors, and panic attacks. A thorough assessment should include complete medical and psychiatric histories, sleep history, and a 1- to 2-week sleep diary or Epworth Sleepiness Scale evaluation. Polysomnography or actigraphy may also be indicated. Treatment should address underlying factors such as depression or anxiety. Hypnotic therapy for sleep disturbances in PD patients should be approached with care because of the risks of falling, agitation, drowsiness, and hypotension. Behavioral interventions may also be useful.

Authors+Show Affiliations

Sleep-Wake Disorders Center, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15259535

Citation

Thorpy, Michael J.. "Sleep Disorders in Parkinson's Disease." Clinical Cornerstone, vol. 6 Suppl 1A, 2004, pp. S7-15.
Thorpy MJ. Sleep disorders in Parkinson's disease. Clin Cornerstone. 2004;6 Suppl 1A:S7-15.
Thorpy, M. J. (2004). Sleep disorders in Parkinson's disease. Clinical Cornerstone, 6 Suppl 1A, S7-15.
Thorpy MJ. Sleep Disorders in Parkinson's Disease. Clin Cornerstone. 2004;6 Suppl 1A:S7-15. PubMed PMID: 15259535.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sleep disorders in Parkinson's disease. A1 - Thorpy,Michael J, PY - 2004/7/21/pubmed PY - 2004/8/25/medline PY - 2004/7/21/entrez SP - S7 EP - 15 JF - Clinical cornerstone JO - Clin Cornerstone VL - 6 Suppl 1A N2 - Depression, dementia, and physiologic changes contribute to the high prevalence of sleep disturbances in patients with Parkinson's disease (PD). Antiparkinsonian drugs also play a role in insomnia by increasing daytime sleepiness and affecting motor symptoms and depression. Common types of sleep disturbances in PD patients include nocturnal sleep disruption and excessive daytime sleepiness, restless legs syndrome, rapid eye movement sleep behavior disorder, sleep apnea, sleep walking and sleep talking, nightmares, sleep terrors, and panic attacks. A thorough assessment should include complete medical and psychiatric histories, sleep history, and a 1- to 2-week sleep diary or Epworth Sleepiness Scale evaluation. Polysomnography or actigraphy may also be indicated. Treatment should address underlying factors such as depression or anxiety. Hypnotic therapy for sleep disturbances in PD patients should be approached with care because of the risks of falling, agitation, drowsiness, and hypotension. Behavioral interventions may also be useful. SN - 1098-3597 UR - https://www.unboundmedicine.com/medline/citation/15259535/Sleep_disorders_in_Parkinson's_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1098-3597(04)90013-0 DB - PRIME DP - Unbound Medicine ER -