快速眼动睡眠行为障碍中的慢波睡眠和δ波功率
Slow-wave sleep and delta power in rapid eye movement sleep behavior disorder.
作者信息
Massicotte-Marquez Jessica, Carrier Julie, Décary Anne, Mathieu Annie, Vendette Mélanie, Petit Dominique, Montplaisir Jacques
机构信息
Sleep Disorders Center Sacred Heart Hospital of Montreal, Québec, Canada.
出版信息
Ann Neurol. 2005 Feb;57(2):277-82. doi: 10.1002/ana.20373.
Rapid eye movement (REM) sleep behavior disorder (RBD) is characterized by the loss of normal muscle atonia during REM sleep, leading to an increase of phasic muscle activity and complex motor behaviors during the night. There is some evidence that RBD patients have more of slow-wave sleep (SWS) than healthy elderly subjects. No study has looked at quantitative electroencephalogram analysis during non-REM sleep in either primary or secondary RBD. The aim of this study was to assess the increase of SWS and to analyze different electroencephalographic frequency ranges during non-REM sleep in 28 idiopathic RBD patients compared with 28 age- and sex-matched healthy volunteers. Idiopathic RBD patients spent more time in SWS (men: 1.4%; women: 5.9%) than control subjects (men: 0.4%; women: 0.6%; p = 0.004). Spectral analyses demonstrated that idiopathic RBD patients had increased all-night delta power in comparison with control subjects (p = 002). This study shows an increase of SWS and power in the delta band during non-REM sleep in idiopathic RBD patients compared with control subjects. Results are discussed about the possible nigrostriatal dopaminergic impairment in RBD patients and the association between RBD and neurodegenerative disorders.
快速眼动(REM)睡眠行为障碍(RBD)的特征是在快速眼动睡眠期间正常的肌肉张力缺失,导致夜间肌肉相位活动增加和复杂的运动行为。有证据表明,RBD患者的慢波睡眠(SWS)比健康老年人更多。尚无研究对原发性或继发性RBD患者非快速眼动睡眠期间的定量脑电图分析进行过探讨。本研究的目的是评估28例特发性RBD患者与28例年龄和性别匹配的健康志愿者相比,慢波睡眠的增加情况,并分析非快速眼动睡眠期间不同的脑电图频率范围。特发性RBD患者在慢波睡眠中花费的时间(男性:1.4%;女性:5.9%)比对照组(男性:0.4%;女性:0.6%;p = 0.004)更多。频谱分析表明,与对照组相比,特发性RBD患者全夜的δ波功率增加(p = 0.02)。本研究表明,与对照组相比,特发性RBD患者在非快速眼动睡眠期间慢波睡眠增加,δ波段功率增加。讨论了关于RBD患者可能存在的黑质纹状体多巴胺能损害以及RBD与神经退行性疾病之间关联的结果。