Sleep Disturbances in Autoimmune Neurological Diseases.

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY Current Neurology and Neuroscience Reports Pub Date : 2023-10-01 Epub Date: 2023-09-06 DOI:10.1007/s11910-023-01294-y

Laura Pérez-Carbonell, Alex Iranzo

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Abstract

Purpose of review: To summarize the current evidence on the associations between autoimmune neurological diseases (e.g., multiple sclerosis, myasthenia gravis) and sleep disturbances (e.g., insomnia, parasomnias), as well as to review the main characteristics of sleep disorders with an immune-related pathophysiology (e.g., narcolepsy, anti-IgLON5 disease).

Recent findings: An immune-mediated damage of the areas in the central nervous system that control sleep and wake functions (e.g., hypothalamus, brainstem) can lead to sleep disorders and sleep symptoms. Sleep disturbances are the reason to seek for medical attention in certain neuroimmunological conditions (e.g., narcolepsy, anti-IgLON5 disease) where sleep-related alterations are the main clinical feature. The assessment of sleep-related symptomatology and disorders should be included in the routine evaluation of patients with autoimmune neurological diseases. Clinicians should be aware of the typical clinical presentation of certain neuroimmunological disorders mainly affecting sleep.

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自身免疫性神经疾病中的睡眠障碍。

综述目的：总结自身免疫性神经疾病（如多发性硬化症、重症肌无力）与睡眠障碍（如失眠、睡眠障碍）之间关系的最新证据，以及用免疫相关的病理生理学来回顾睡眠障碍的主要特征（如嗜睡症、抗IgLON5疾病）。最近的发现：免疫介导的中枢神经系统中控制睡眠和觉醒功能的区域（如下丘脑、脑干）的损伤可导致睡眠障碍和睡眠症状。睡眠障碍是在某些神经免疫疾病（如嗜睡症、抗IgLON5疾病）中寻求医疗护理的原因，在这些疾病中，睡眠相关的改变是主要的临床特征。对自身免疫性神经系统疾病患者的常规评估应包括睡眠相关症状和障碍的评估。临床医生应该意识到某些主要影响睡眠的神经免疫疾病的典型临床表现。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.