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Current Sleep Medicine Reports最新文献

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Insomnia and Hypoglossal Nerve Stimulation 失眠与舌下神经刺激
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-05-05 DOI: 10.1007/s40675-023-00255-8
Tarek Dabboussi, S. Manchanda, N. Parker, Yelena Chernyak, Stephanie Stahl
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引用次数: 0
The Utility of Non-invasive Brain Stimulation in Relieving Insomnia Symptoms and Sleep Disturbances Across Different Sleep Disorders: a Topical Review 非侵入性脑刺激在缓解不同睡眠障碍的失眠症状和睡眠障碍中的作用:一项专题综述
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-04-29 DOI: 10.1007/s40675-023-00254-9
A. Herrero Babiloni, Daphnée Brazeau, Beatrice P. De Koninck, G. Lavigne, Louis De Beaumont
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引用次数: 0
Autonomic Dysfunction in Hypersomnia 超睡眠状态下的自主功能障碍
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-04-18 DOI: 10.1007/s40675-023-00251-y
A. Silvani, Isabelle Lambert, A. Heidbreder, Y. Dauvilliers, L. Barateau
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引用次数: 0
The Sleep Revolution Platform: a Dynamic Data Source Pipeline and Digital Platform Architecture for Complex Sleep Data 睡眠革命平台:复杂睡眠数据的动态数据源管道和数字平台架构
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-04-10 DOI: 10.1007/s40675-023-00252-x
B.F. Sveinbjarnarson, L. Schmitz, E. Arnardóttir, A. Islind
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引用次数: 1
The evolving diagnosis and classification of CNS hypersomnolence disorders 中枢神经系统嗜睡症的诊断和分类
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-03-02 DOI: 10.1007/s40675-023-00250-z
G. Lammers, U. Kallweit
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引用次数: 0
Novel Objective Measures of Hypersomnolence. 嗜睡的新的客观测量方法。
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-03-01 Epub Date: 2023-01-10 DOI: 10.1007/s40675-022-00245-2
Alex Dworetz, Lynn Marie Trotti, Surina Sharma

Purpose of review: To provide a brief overview of current objective measures of hypersomnolence, discuss proposed measure modifications, and review emerging measures.

Recent findings: There is potential to optimize current tools using novel metrics. High-density and quantitative EEG-based measures may provide discriminative informative. Cognitive testing may quantify cognitive dysfunction common to hypersomnia disorders, particularly in attention, and objectively measure pathologic sleep inertia. Structural and functional neuroimaging studies in narcolepsy type 1 have shown considerable variability but so far implicate both hypothalamic and extra-hypothalamic regions; fewer studies of other CDH have been performed. There is recent renewed interest in pupillometry as a measure of alertness in the evaluation of hypersomnolence.

Summary: No single test captures the full spectrum of disorders and use of multiple measures will likely improve diagnostic precision. Research is needed to identify novel measures and disease-specific biomarkers, and to define combinations of measures optimal for CDH diagnosis.

审查目的:简要概述目前嗜睡的客观指标,讨论拟议的指标修改,并审查新出现的指标。最近的发现:有可能使用新的指标来优化当前的工具。基于高密度和定量EEG的测量可以提供有区别的信息。认知测试可以量化睡眠过度障碍常见的认知功能障碍,特别是在注意力方面,并客观地测量病理性睡眠惯性。1型发作性睡病的结构和功能神经影像学研究显示出相当大的可变性,但迄今为止涉及下丘脑和下丘脑外区域;对其他CDH的研究较少。最近,人们对瞳孔测量作为评估嗜睡的警觉性指标重新产生了兴趣。总结:没有一种单一的测试可以捕捉到全方位的疾病,使用多种测量方法可能会提高诊断精度。需要进行研究,以确定新的测量方法和疾病特异性生物标志物,并确定CDH诊断的最佳测量方法组合。
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引用次数: 0
Sleep Disturbance in Tourette's Disorder: Potential Underlying Mechanisms. 妥瑞症的睡眠障碍:潜在的内在机制
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-03-01 Epub Date: 2023-01-23 DOI: 10.1007/s40675-022-00242-5
Emily J Ricketts, Valerie Swisher, Deanna J Greene, Daniel Silverman, Eric A Nofzinger, Christopher S Colwell

Purpose of review: Sleep disturbance is common in TD. However, our understanding of the pathophysiological mechanisms involved is preliminary. This review summarizes findings from neuroimaging, genetic, and animal studies to elucidate potential underlying mechanisms of sleep disruption in TD.

Recent findings: Preliminary neuroimaging research indicates increased activity in the premotor cortex, and decreased activity in the prefrontal cortex is associated with NREM sleep in TD. Striatal dopamine exhibits a circadian rhythm; and is influenced by the suprachiasmatic nucleus via multiple molecular mechanisms. Conversely, dopamine receptors regulate circadian function and striatal expression of circadian genes. The association of TD with restless legs syndrome and periodic limb movements indicates shared pathophysiology, including iron deficiency, and variants in the BTDB9 gene. A mutations in the L-Histidine Decarboxylase gene in TD, suggests the involvement of the histaminergic system, implicated in arousal, in TD.

Summary: These biological markers have implications for application of novel, targeted interventions, including noninvasive neuromodulation, iron supplementation, histamine receptor antagonists, and circadian-based therapies for tic symptoms and/or sleep and circadian rhythms in TD.

审查目的:睡眠障碍在 TD 中很常见。然而,我们对其中涉及的病理生理机制还缺乏初步了解。本综述总结了神经影像学、遗传学和动物实验的研究结果,以阐明 TD 睡眠障碍的潜在内在机制:初步神经影像学研究表明,前运动皮质活动增加和前额叶皮质活动减少与 TD 的 NREM 睡眠有关。纹状体多巴胺表现出昼夜节律,并通过多种分子机制受到丘脑上核的影响。相反,多巴胺受体调节昼夜节律功能和纹状体昼夜节律基因的表达。TD 与不宁腿综合征和周期性肢体运动的关联表明,TD 与缺铁和 BTDB9 基因变异等病理生理学因素具有共通性。小结:这些生物标记物对应用新型、有针对性的干预措施具有重要意义,包括非侵入性神经调节、铁补充、组胺受体拮抗剂和基于昼夜节律的疗法,以治疗 TD 的抽搐症状和/或睡眠和昼夜节律。
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引用次数: 0
Update on Randomized Controlled Trials in CNS Hypersomnias 中枢神经系统过度嗜睡的随机对照试验进展
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-02-17 DOI: 10.1007/s40675-023-00249-6
N. Walker, B. Vaughn
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引用次数: 0
New Paradigm in the Management of REM Sleep Behavior Disorder 快速眼动睡眠行为障碍管理的新范式
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-02-11 DOI: 10.1007/s40675-023-00248-7
Anas Rihawi, S. Mashaqi, J. Lee-Iannotti, E. During
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引用次数: 0
Autonomic Dysfunction in the Central Nervous System Hypersomnias 中枢神经系统的自主神经功能障碍
IF 1.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-02-08 DOI: 10.1007/s40675-023-00247-8
M. Miglis
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引用次数: 0
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Current Sleep Medicine Reports
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