Department of Neurology, SUNY Upstate Medical University, 750 E. Adams Street, Syracuse, NY, 13210, USA.
University Sleep Center, Syracuse, NY, USA.
Curr Neurol Neurosci Rep. 2018 Jun 25;18(8):53. doi: 10.1007/s11910-018-0855-1.
In this article, we review the cerebrovascular complications of sleep apnea (SA). SA is the major sleep disorder associated with stroke and vascular dementia.
Sleep apnea syndrome of moderate to severe intensity affects 17% of 50-70-year-old men and 9% of 50-70-year-old women, making SA a notorious and prevalent disorder. SA increases the risk of hypertension, stroke, myocardial infarction, and atrial fibrillation (AF) and is closely linked to vascular dementia. In addition, SA may worsen the neurologic outcome in acute stroke patients and interferes with rehabilitation after stroke. Proper management of SA may decrease the clinical impact of stroke risk factors, improve neurologic outcome after stroke, and lessen the progression of subcortical ischemic vascular disease. In this article, we will cover the most salient pathologies that associate SA and cerebrovascular pathology.
本文综述了睡眠呼吸暂停（SA）的脑血管并发症。SA 是与中风和血管性痴呆相关的主要睡眠障碍。
中重度睡眠呼吸暂停综合征影响 50-70 岁男性的 17%和 50-70 岁女性的 9%，使 SA 成为一种臭名昭著且普遍的疾病。SA 增加了高血压、中风、心肌梗死和心房颤动（AF）的风险，并且与血管性痴呆密切相关。此外，SA 可能会使急性中风患者的神经功能预后恶化，并干扰中风后的康复。SA 的适当管理可能会降低中风危险因素的临床影响，改善中风后的神经功能预后，并减缓皮质下缺血性血管疾病的进展。在本文中，我们将涵盖与 SA 和脑血管病理相关的最突出的病理。
