Panossian Lori Ani, Avidan Alon Y
Sleep Laboratory, East Bay Division, Department of Neurology, Veterans Affairs Northern California Health Care System, 150 Muir Road, Martinez, CA 94553, USA.
Department of Neurology, UCLA Sleep Disorders Center, David Geffen School of Medicine at UCLA, 710 Westwood Boulevard, Room 1-145 RNRC, Los Angeles, CA 90095-1769, USA.
Neurol Clin. 2016 Aug;34(3):565-94. doi: 10.1016/j.ncl.2016.04.003.
Sleep disorders are common in neurology practice, but are often undiagnosed and untreated. Specific patient cohorts, such as older adults, patients residing in nursing homes, and patients with underlying chronic neurologic and psychiatric disorders, are at particular risk. If these sleep problems are not properly evaluated and managed the patient may experience exacerbation of the underlying neurologic disorder. This article highlights some of the key sleep disorders relevant to practicing neurologists, emphasizing hypersomnolence, insomnia, and sleep-related movement disorders in the setting of neurologic disorders to enhance the tools available for evaluation, and discusses management strategies.
睡眠障碍在神经病学临床实践中很常见，但往往未被诊断和治疗。特定的患者群体，如老年人、住在疗养院的患者以及患有潜在慢性神经和精神疾病的患者，面临着特别的风险。如果这些睡眠问题得不到妥善评估和处理，患者可能会出现潜在神经疾病的加重。本文重点介绍了一些与执业神经病学家相关的关键睡眠障碍，强调在神经疾病背景下的过度嗜睡、失眠和睡眠相关运动障碍，以增强可用的评估工具，并讨论管理策略。
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