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COVID-19 and Central Nervous System Hypersomnias. COVID-19与中枢神经系统嗜睡。
IF 1.8 Q3 Medicine Pub Date : 2022-01-01 Epub Date: 2022-07-25 DOI: 10.1007/s40675-022-00226-5
Cristina Frange, Giuliano Paz de Oliveira, Fernando Morgadinho Santos Coelho

Purpose of review: Central nervous system (CNS) hypersomnias can be triggered by external factors, such as infection or as a response to vaccination. The 2019 coronavirus disease (COVID-19) pandemic, which was caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), led to a worldwide effort to quickly develop a vaccine to contain the pandemic and reduce morbidity and mortality. This narrative review is focused on the literature published in the past 2 years and provides an update on current knowledge in respect of the triggering of CNS hypersomnias by infection per se, vaccination, and circadian rhythm alterations caused by social isolation, lockdown, and quarantine.

Recent findings: At present, there is no consensus on the association between hypersomnias and COVID-19 vaccination or infection per se; however, the data suggest that there has been an increase in excessive daytime sleepiness due to vaccination, but only for a short duration. Kleine Levin syndrome, hypersomnia, excessive daytime sleepiness, and narcolepsy were aggravated and exacerbated in some case reports in the literature. Both increased and decreased sleep duration and improved and worsened sleep quality were described. In all age groups, delayed sleep time was frequent in studies of patients with hypersomnolence.

Summary: The hypothesis that there is a pathophysiological mechanism by which the virus, vaccination, and the effects of quarantine aggravate hypersomnias is discussed in this review.

综述目的:中枢神经系统(CNS)嗜睡可由外部因素触发,如感染或对疫苗接种的反应。由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的2019年冠状病毒病(COVID-19)大流行导致全球努力迅速开发疫苗,以控制大流行并降低发病率和死亡率。这篇叙述性综述的重点是过去2年发表的文献,并提供了关于感染本身、疫苗接种和社会隔离、封锁和检疫引起的昼夜节律改变引发中枢神经系统嗜睡的最新知识。近期发现:目前,对于嗜睡与COVID-19疫苗接种或感染本身之间的关联尚未达成共识;然而,数据表明,由于接种疫苗,白天过度嗜睡的情况有所增加,但只是持续时间很短。Kleine Levin综合征、嗜睡、白天过度嗜睡和嗜睡症在文献中的一些病例报告中加重和加剧。睡眠时间的增加和减少以及睡眠质量的改善和恶化都有描述。在所有年龄组中,睡眠时间延迟在嗜睡患者的研究中都很常见。摘要:本文讨论了病毒、疫苗接种和隔离效应加重嗜睡的病理生理机制。
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引用次数: 5
Pathophysiology of Obstructive Sleep Apnea in Aging Women. 老年妇女阻塞性睡眠呼吸暂停的病理生理学研究。
IF 1.8 Q3 Medicine Pub Date : 2021-12-01 Epub Date: 2021-10-03 DOI: 10.1007/s40675-021-00218-x
Qingchao Qiu, Jason H Mateika

The following review is designed to explore the pathophysiology of sleep apnea in aging women. The review initially introduces four endotypes (i.e., a more collapsible airway, upper airway muscle responsiveness, arousal threshold, and loop gain) that may have a role in the initiation of obstructive sleep apnea. Thereafter, sex differences in the prevalence of sleep apnea are considered along with differences in the prevalence that exist between younger and older women. Following this discussion, we consider how each endotype might contribute to the increase in prevalence of sleep apnea in aging women. Lastly, we address how modifications in one form of respiratory plasticity, long-term facilitation, that might serve to mitigate apneic events in younger women may be modified in aging women with obstructive sleep apnea. Overall, the published literature indicates that the prevalence of sleep apnea is increased in aging women. This increase is linked primarily to a more collapsible airway and possibly to reduced responsiveness of upper airway muscle activity. In contrast, modifications in loop gain or the arousal threshold do not appear to have a role in the increased prevalence of sleep apnea in aging women. Moreover, we suggest that mitigation of long-term facilitation could contribute to the increased prevalence of sleep apnea in aging women.

以下综述旨在探讨老年女性睡眠呼吸暂停的病理生理学。这篇综述首先介绍了四种可能在阻塞性睡眠呼吸暂停启动中起作用的内源性类型(即,更可折叠的气道,上呼吸道肌肉反应性,唤醒阈值和循环增益)。此后,睡眠呼吸暂停患病率的性别差异以及存在于年轻和老年妇女之间的患病率差异被考虑在内。在此讨论之后,我们考虑每一种内型如何可能导致老年妇女睡眠呼吸暂停患病率的增加。最后,我们讨论了如何改变一种形式的呼吸可塑性,长期促进,这可能有助于减轻年轻女性的呼吸暂停事件,可能在患有阻塞性睡眠呼吸暂停的老年女性中进行修改。总的来说,已发表的文献表明,睡眠呼吸暂停的患病率在老年妇女中有所增加。这种增加主要与气道更易折叠有关,也可能与上呼吸道肌肉活动的反应性降低有关。相反,环路增益或唤醒阈值的改变似乎与老年妇女睡眠呼吸暂停患病率的增加无关。此外,我们认为缓解长期促进可能有助于增加老年妇女睡眠呼吸暂停的患病率。
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引用次数: 6
Hypoglossal Nerve Stimulation for Treatment of Severe Refractory Obstructive Sleep Apnea in Children with Down Syndrome 舌下神经刺激治疗唐氏综合征患儿严重难治性阻塞性睡眠呼吸暂停
IF 1.8 Q3 Medicine Pub Date : 2021-12-01 DOI: 10.1007/s40675-021-00219-w
Inbal Hazkani, N. Raol
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引用次数: 0
Pregnancy and Contraception in Central Hypersomnolence Disorders 中枢性嗜睡障碍的妊娠和避孕
IF 1.8 Q3 Medicine Pub Date : 2021-11-25 DOI: 10.1007/s40675-021-00221-2
M. Pascoe, N. Foldvary-Schaefer
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引用次数: 0
Evidence of an Association of Obstructive Sleep Apnea with Diabetes and Diabetic Complications 阻塞性睡眠呼吸暂停与糖尿病及糖尿病并发症相关的证据
IF 1.8 Q3 Medicine Pub Date : 2021-10-07 DOI: 10.1007/s40675-021-00217-y
Takeshi Matsumoto, T. Hirai, K. Chin
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引用次数: 3
Obstructive Sleep Apnea and Arrhythmias in the Elderly 老年人阻塞性睡眠呼吸暂停和心律失常
IF 1.8 Q3 Medicine Pub Date : 2021-08-17 DOI: 10.1007/s40675-021-00212-3
E. Tan, Chi‐Hang Lee
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引用次数: 2
What Is “Chronic” in “Chronic Sleep Reduction” and What Are Its Consequences? A Systematic Scoping Review of the Literature “慢性睡眠减少”中的“慢性”是什么?它的后果是什么?文献的系统界定综述
IF 1.8 Q3 Medicine Pub Date : 2021-08-04 DOI: 10.1007/s40675-021-00214-1
E. D. de Bruin, J. Dewald-Kaufmann
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引用次数: 0
The Associations of Obstructive Sleep Apnea and Eye Disorders: Potential Insights into Pathogenesis and Treatment 阻塞性睡眠呼吸暂停和眼部疾病的关联:潜在的发病机制和治疗见解
IF 1.8 Q3 Medicine Pub Date : 2021-07-23 DOI: 10.1007/s40675-021-00215-0
Jeeyun Ahn, M. Gorin
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引用次数: 1
Cognitive Behavioral Counseling and Sleep Quality in Pregnant Women: a Randomized Controlled Trial 认知行为咨询与孕妇睡眠质量:一项随机对照试验
IF 1.8 Q3 Medicine Pub Date : 2021-07-20 DOI: 10.1007/s40675-021-00213-2
S. Khatibi, M. Kazemi, Saeideh Zenoozian, M. Vakili, R. Kharaghani
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引用次数: 4
Sleep Apnea and Hypertension in the Elderly 老年人睡眠呼吸暂停与高血压
IF 1.8 Q3 Medicine Pub Date : 2021-07-15 DOI: 10.1007/s40675-021-00211-4
I. Imayama, A. Sahni, S. Sunkara, B. Prasad
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引用次数: 1
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Current Sleep Medicine Reports
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