Sleep disorders in Parkinson's disease

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Depression, dementia, and physiologic changes contribute to the high prevalence of sleep disturbances in patients with Parkinson's disease (PD). Antiparkinsonian drugs also play a role in insomnia by increasing daytime sleepiness and affecting motor symptoms and depression. Common types of sleep disturbances in PD patients include nocturnal sleep disruption and excessive daytime sleepiness, restless legs syndrome, rapid eye movement sleep behavior disorder, sleep apnea, sleep walking and sleep talking, nightmares, sleep terrors, and panic attacks. A thorough assessment should include complete medical and psychiatric histories, sleep history, and a 1- to 2-week sleep diary or Epworth Sleepiness Scale evaluation. Polysomnography or actigraphy may also be indicated. Treatment should address underlying factors such as depression or anxiety. Hypnotic therapy for sleep disturbances in PD patients should be approached with care because of the risks of falling, agitation, drowsiness, and hypotension. Behavioral interventions may also be useful.

Original languageEnglish (US)
JournalClinical Cornerstone
Volume6
Issue number1 SUPPL. 1
DOIs
StatePublished - 2004

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Parkinson Disease
Sleep
Depression
Sleep-Wake Transition Disorders
Night Terrors
Accidental Falls
Somnambulism
REM Sleep Behavior Disorder
Actigraphy
Antiparkinson Agents
Restless Legs Syndrome
Polysomnography
Sleep Stages
Panic Disorder
Sleep Apnea Syndromes
Sleep Initiation and Maintenance Disorders
Hypotension
Psychiatry
Dementia
Sleep Wake Disorders

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sleep disorders in Parkinson's disease. / Thorpy, Michael J.

In: Clinical Cornerstone, Vol. 6, No. 1 SUPPL. 1, 2004.

Research output: Contribution to journalArticle

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