Subjective and polysomnographic evaluation of sleep in mitochondrial optic neuropathies.


Journal

Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441

Informations de publication

Date de publication:
04 2021
Historique:
revised: 18 03 2020
received: 14 01 2020
accepted: 24 03 2020
pubmed: 12 6 2020
medline: 29 6 2021
entrez: 12 6 2020
Statut: ppublish

Résumé

Leber hereditary optic neuropathy and Dominant optic atrophy are associated with a selective loss of retinal ganglion cells (RGC). A subtype of RGC is responsible for light-dependent physiological processes. The aim of our study was to evaluate both subjective and objective sleep parameters in 36 (18 males; mean age 33.8 ± 16.7) symptomatic/asymptomatic subjects with Leber hereditary optic neuropathy and dominant optic atrophy. The Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS) and nocturnal polysomnography were used to assess sleep disturbances and sleep quality. The questionnaires indicated significantly worse sleep quality (PSQI > 5; average 7.7 ± 3.8) in 21 (70%) and excessive daytime sleepiness (ESS > 10; average 6.3 ± 5.8) in six (20%) individuals. Nocturnal polysomnography has not revealed any significant changes of sleep structure. Rapid eye movement (REM) sleep without atonia was observed in two patients with Leber hereditary optic neuropathy. Obstructive sleep apnea was noted in eight cases. No correlation between subjective and polysomnographic data and no differences between symptomatic and asymptomatic groups were observed. None of the subjects fulfilled criteria for a circadian sleep disorder. In both symptomatic and asymptomatic individuals, a subjective decrease of the quality of sleep and wakefulness was noted without any correlation on polysomnography.

Identifiants

pubmed: 32524698
doi: 10.1111/jsr.13051
doi:

Substances chimiques

DNA, Mitochondrial 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13051

Informations de copyright

© 2020 European Sleep Research Society.

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Auteurs

Iva Příhodová (I)

Department of Neurology and Center for Clinical Neurosciences, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Jiří Nepožitek (J)

Department of Neurology and Center for Clinical Neurosciences, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Silvie Kelifová (S)

Department of Pediatrics and Adolescent Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Simona Dostálová (S)

Department of Neurology and Center for Clinical Neurosciences, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

David Kemlink (D)

Department of Neurology and Center for Clinical Neurosciences, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Karel Šonka (K)

Department of Neurology and Center for Clinical Neurosciences, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Markéta Tesařová (M)

Department of Pediatrics and Adolescent Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Tomáš Honzík (T)

Department of Pediatrics and Adolescent Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Hana Kolářová (H)

Department of Pediatrics and Adolescent Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

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