Department of Neurology, Movement Disorders Division, Mayo Clinic Arizona, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Neurol Clin. 2012 Nov;30(4):1345-58. doi: 10.1016/j.ncl.2012.08.019.
This article summarizes what is currently known about sleep disturbances in several movement disorders including Parkinson disease, essential tremor, parkinsonism, dystonia, Huntington disease, myoclonus, and ataxias. There is an association between movement disorders and sleep. In some cases the prevalence of sleep disorders is much higher in patients with movement disorder, such as rapid eye movement sleep behavior disorder in Parkinson disease. In other cases, sleep difficulties worsen the involuntary movements. In many cases the medications used to treat patients with movement disorder disturb sleep or cause daytime sleepiness. The importance of discussing sleep issues in patients with movement disorders cannot be underestimated.
本文总结了目前已知的几种运动障碍疾病(包括帕金森病、特发性震颤、帕金森综合征、肌张力障碍、亨廷顿病、肌阵挛和共济失调)中的睡眠障碍。运动障碍与睡眠之间存在关联。在某些情况下,运动障碍患者的睡眠障碍发生率更高,例如帕金森病中的快速眼动睡眠行为障碍。在其他情况下,睡眠困难会使不自主运动恶化。在许多情况下,用于治疗运动障碍患者的药物会干扰睡眠或导致白天嗜睡。因此,不能低估在运动障碍患者中讨论睡眠问题的重要性。