ABSTRACT
Los trastornos del movimiento y de la conducta durante el sueño pueden tener un impacto en la calidad del sueño del paciente y dar lugar a síntomas diurnos. En estos grupos de enfermedades se incluyen entidades como el síndrome de piernas inquietas, los movimientos periódicos de las piernas y las parasomnias del sueño de movimientos oculares rápidos (REM) y no REM. El conocimiento de sus características clínicas y nociones sobre su manejo es de gran importancia para el neurólogo y especialista en sueño por su frecuencia e impacto en la calidad del sujeto. Con frecuencia, estos pacientes son referidos a dichos especialistas, y es relevante conocer que ciertos trastornos del sueño pueden asociarse a otras enfermedades neurológicas
Sleep-related movement and behaviour disorders may have an impact on sleep quality and lead to daytime symptoms. These groups of conditions include diseases such as restless legs syndrome, periodic leg movements, and REM and NREM parasomnias. The knowledge of their clinical features and management is of utmost importance for the neurologist and sleep specialist. Frequently, these patients are referred to such specialists and it is relevant to know that certain sleep disorders may be associated with other neurological conditions
Subject(s)
Humans , Adult , Movement Disorders/physiopathology , Sleep Wake Disorders/physiopathology , Restless Legs Syndrome/physiopathology , REM Sleep Parasomnias/physiopathology , Dreams/physiology , Epilepsy/physiopathologyABSTRACT
The association between insomnia and sleep apnea has received little attention from health professionals in the past few decades. However, recent studies have shown a high prevalence of insomnia complaints in patients with objectively diagnosed obstructive sleep apnea (OSA) syndrome. In this paper we have reviewed data published on different aspects of this association: the clinical profile of sleep-disordered breathing (SDB)-plus, the nature of the association, the role in the onset of insomnia played by OSA itself and other comorbidity factors such as depression or the restless leg syndrome. Finally, we have reviewed data and hypotheses on the metabolic implications of OSA and insomnia, and we speculate on the role that hypothalamic-pituitary-adrenal axis hyperactivity may play in a hypothetical interrelation between OSA and insomnia. The apparent paradox implied by this clinical association reveals the need for interdisciplinary training for physicians who treat both types of disorders.
Subject(s)
Sleep Apnea, Obstructive/epidemiology , Sleep Initiation and Maintenance Disorders/epidemiology , Adult , Aged , Comorbidity , Continuous Positive Airway Pressure , Humans , Patient Care Team , Restless Legs Syndrome/diagnosis , Restless Legs Syndrome/epidemiology , Restless Legs Syndrome/therapy , Risk Factors , Sleep Apnea, Obstructive/diagnosis , Sleep Apnea, Obstructive/therapy , Sleep Initiation and Maintenance Disorders/diagnosis , Sleep Initiation and Maintenance Disorders/therapy , Young AdultABSTRACT
INTRODUCCIÓN. El trastorno alimentario relacionado con el sueño (SRED) se caracteriza por la presencia de arousals nocturnos acompañados de alimentación compulsiva, con nivel de conciencia variable durante los mismos. Con frecuencia el trastorno se acompaña de otras alteraciones del sueño, pero la mayoria de casos publicados no aportan estudios polisomnográficos nocturnos (PSGn). Caso1 Varón de 40 años de edad. Desde los 25 años presenta episodios de levantarse de la cama por la noche para ingerir alimento, recordando el episodio vagamente o sin recordarlo. Refiere antecedentes de sonambulismo personales y familiares. El PSGn muestra la presencia de movimientos periódicos de piernas. Caso 2 Varón de 42 años de edad con historia personal y familiar de sonambulismo. Desde hace varios años presenta episodios de alimentación compulsiva durante la noche que no recuerda al día siguiente. Su PSGn muestra apneas obstructivas relacionadas con la posición del cuerpo. Caso 3 Varón de 40 años con gran cantidad de arousals durante el sueño, durante los que siente la necesidad de comer. Al día siguiente recuerda los episodios. Su PSGn muestra la presencia de escasas apneas. CONCLUSIÓN. El SRED puede estar asociado con otras alteraciones del sueño. Su diagnóstico mediante la ayuda del PSGn y su tratamiento pueden mejorar y hacer que los episodios disminuyan en frecuencia (AU)
INTRODUCTION. Sleep - related eating disorder (SRED) is characterised by arousals from sleep associated with compulsive ingestion of food and subsequent poor memory of the event. SRED is frequently combined with other sleep disorders, but most published reports do not include polysomnografic (PSG) studies. Case 1 Male patient, 40 years old. At age 25 he started getting up every night and eating food with only partial or no recall of the event. He has personal and family history of sleepwalking. His PSG showed the presence of periodic limb movements. Case 2 Male patient, 42 years old with history of sleep walking. Several years ago he started compulsive eating at night without recall of the episode. His PSG showed obstructive sleep apneas related to body position. Case 3 Male patient 40 years old with many arousals from sleep, during which he feels the need to eat. The next day he recalls the episodes. His PSG showed a few obstructive sleep apneas. CONCLUSION. SRED may be associated with other sleep disorders. Their diagnosis by PSG study, and their treatment may improve and decrease the frequency of the events (AU)
