强直性肌营养不良患者的日间睡眠并非由睡眠呼吸暂停引起。
Daytime sleep in myotonic dystrophy is not caused by sleep apnoea.
作者信息
van der Meché F G, Bogaard J M, van der Sluys J C, Schimsheimer R J, Ververs C C, Busch H F
机构信息
Department of Neurology, University Hospital Rotterdam-Dijkzigt, The Netherlands.
出版信息
J Neurol Neurosurg Psychiatry. 1994 May;57(5):626-8. doi: 10.1136/jnnp.57.5.626.
Abstract
Daytime sleepiness is common in myotonic dystrophy and might be attributed to disturbed nocturnal breathing. Seventeen out of 22 patients complained of excessive daytime sleepiness, resembling "idiopathic hypersomnolence". Sleep apnoea might have contributed to daytime sleepiness in only three of 17 patients. Treatment with the central stimulant methylphenidate produced sustained benefit in seven out of 11 patients tested. Daytime sleepiness in myotonic dystrophy is usually caused by dysfunction of central sleep regulation and not by disturbed nocturnal breathing.
摘要
白天嗜睡在强直性肌营养不良中很常见，可能归因于夜间呼吸紊乱。22名患者中有17名抱怨白天过度嗜睡，类似于“特发性睡眠增多症”。睡眠呼吸暂停可能仅在17名患者中的3名中导致白天嗜睡。对11名接受测试的患者使用中枢兴奋剂哌醋甲酯治疗产生了持续的疗效。强直性肌营养不良中的白天嗜睡通常是由中枢睡眠调节功能障碍引起的，而非夜间呼吸紊乱所致。
相似文献
1
Daytime sleep in myotonic dystrophy is not caused by sleep apnoea.强直性肌营养不良患者的日间睡眠并非由睡眠呼吸暂停引起。
J Neurol Neurosurg Psychiatry. 1994 May;57(5):626-8. doi: 10.1136/jnnp.57.5.626.
2
[Excessive daytime sleepiness, central type sleep apnea and myotonic dystrophy].[日间过度嗜睡、中枢型睡眠呼吸暂停与强直性肌营养不良]
Arq Neuropsiquiatr. 1985 Dec;43(4):391-5. doi: 10.1590/s0004-282x1985000400009.
3
Myotonic dystrophy type 1, daytime sleepiness and REM sleep dysregulation.1 型肌强直性营养不良，日间嗜睡和 REM 睡眠失调。
Sleep Med Rev. 2012 Dec;16(6):539-45. doi: 10.1016/j.smrv.2012.01.001. Epub 2012 Mar 31.
4
Assessment of sleep studies in myotonic dystrophy.强直性肌营养不良症睡眠研究的评估
Chron Respir Dis. 2007;4(1):15-8. doi: 10.1177/1479972306074480.
5
Comparative Sleep Disturbances in Myotonic Dystrophy Types 1 and 2.进行性肌营养不良症 1 型和 2 型的睡眠障碍比较。
Curr Neurol Neurosci Rep. 2018 Oct 31;18(12):102. doi: 10.1007/s11910-018-0903-x.
6
Breathing during sleep in patients with myotonic dystrophy and non-myotonic respiratory muscle weakness.强直性肌营养不良和非强直性呼吸肌无力患者的睡眠呼吸情况。
Q J Med. 1991 Jan;78(285):21-31.
7
Sleep breathing disorders in 40 Italian patients with Myotonic dystrophy type 1.40 例肌强直性营养不良 1 型患者的睡眠呼吸障碍。
Neuromuscul Disord. 2012 Mar;22(3):219-24. doi: 10.1016/j.nmd.2011.08.010. Epub 2011 Dec 3.
8
Treatment of hypersomnolence in myotonic dystrophy with a CNS stimulant.
Muscle Nerve. 1986 May;9(4):341-4. doi: 10.1002/mus.880090410.
9
Neuropsychological deficits and sleep in myotonic dystrophy.强直性肌营养不良症中的神经心理学缺陷与睡眠
Can J Neurol Sci. 1990 Nov;17(4):410-5. doi: 10.1017/s0317167100030985.
10
Disruption of sleep-wake continuum in myotonic dystrophy type 1: Beyond conventional sleep staging.肌强直性营养不良 1 型患者睡眠-觉醒连续性中断：超越传统睡眠分期。
Neuromuscul Disord. 2018 May;28(5):414-421. doi: 10.1016/j.nmd.2018.02.004. Epub 2018 Feb 12.
引用本文的文献
1
Psychostimulants for hypersomnia (excessive daytime sleepiness) in myotonic dystrophy.肌强直性营养不良患者嗜睡（白天过度嗜睡）的精神兴奋剂。
Cochrane Database Syst Rev. 2024 Nov 18;11(11):CD003218. doi: 10.1002/14651858.CD003218.pub3.
2
Three-dimensional assessment of pharyngeal airway in individuals with myotonic dystrophy type 1.1 型肌强直性营养不良患者咽气道的三维评估。
Turk J Med Sci. 2021 Dec 13;51(6):3022-3029. doi: 10.3906/sag-2105-106.
3
Assessment of self-reported and objective daytime sleepiness in adult-onset myotonic dystrophy type 1.成人型肌强直性营养不良 1 型患者的自我报告和客观日间嗜睡评估。
J Clin Sleep Med. 2021 Dec 1;17(12):2383-2391. doi: 10.5664/jcsm.9438.
4
Predicting daytime sleepiness and fatigue: a 9-year prospective study in myotonic dystrophy type 1.预测日间嗜睡和疲劳：肌强直性营养不良 1 型的 9 年前瞻性研究。
J Neurol. 2020 Feb;267(2):461-468. doi: 10.1007/s00415-019-09592-7. Epub 2019 Oct 31.
5
Comparative Sleep Disturbances in Myotonic Dystrophy Types 1 and 2.进行性肌营养不良症 1 型和 2 型的睡眠障碍比较。
Curr Neurol Neurosci Rep. 2018 Oct 31;18(12):102. doi: 10.1007/s11910-018-0903-x.
6
Outcome Measures for Central Nervous System Evaluation in Myotonic Dystrophy Type 1 May Be Confounded by Deficits in Motor Function or Insight.1型强直性肌营养不良症中枢神经系统评估的结果指标可能会因运动功能或认知缺陷而混淆。
Front Neurol. 2018 Oct 2;9:780. doi: 10.3389/fneur.2018.00780. eCollection 2018.
7
Myotonic disorders: A review article.强直性肌营养不良症：一篇综述文章。
Iran J Neurol. 2016 Jan 5;15(1):46-53.
8
Sleep-Wake Cycle and Daytime Sleepiness in the Myotonic Dystrophies.强直性肌营养不良症中的睡眠-觉醒周期与日间嗜睡
J Neurodegener Dis. 2013;2013:692026. doi: 10.1155/2013/692026. Epub 2013 Nov 4.
9
Diagnosis of muscle diseases presenting with early respiratory failure.以早期呼吸衰竭为表现的肌肉疾病的诊断
J Neurol. 2015 May;262(5):1101-14. doi: 10.1007/s00415-014-7526-1. Epub 2014 Nov 7.
10
Myotonic dystrophy.肌强直性营养不良症。
Neurol Clin. 2014 Aug;32(3):705-19, viii. doi: 10.1016/j.ncl.2014.04.011. Epub 2014 Jun 6.
本文引用的文献
1
Cardiopulmonary insufficiency in myotonic and progressive muscular dystrophy.强直性肌营养不良和进行性肌营养不良中的心肺功能不全。
N Engl J Med. 1959 Nov 26;261:1089-96. doi: 10.1056/NEJM195911262612201.
2
Treatment of hypersomnolence in myotonic dystrophy with a CNS stimulant.
Muscle Nerve. 1986 May;9(4):341-4. doi: 10.1002/mus.880090410.
3
Sleep-related breathing impairment in myotonic dystrophy.强直性肌营养不良症中的睡眠相关呼吸障碍
J Neurol. 1987 Dec;235(2):80-5. doi: 10.1007/BF00718014.
4
Snoring (I). Daytime sleepiness in regular heavy snorers.打鼾（一）。习惯性重度打鼾者的日间嗜睡情况。
Chest. 1991 Jan;99(1):40-8. doi: 10.1378/chest.99.1.40.
Zotero 插件