AI Article Synopsis
- - Sleep disorders are linked to an increased risk of stroke and can worsen outcomes for stroke patients, with many experiencing various sleep issues after a stroke.
- - The review gathered data from numerous studies to analyze the connection between sleep disorders like insomnia, narcolepsy, and sleep apnea and their implications for stroke.
- - Guidelines recommend screening for sleep disorders in stroke patients, suggesting that addressing these disorders might help lower stroke risk and improve recovery outcomes, pending further clinical research.
Article Abstract
Background And Purpose: Sleep disorders are increasingly implicated as risk factors for stroke, as well as a determinant of stroke outcome. They can also occur secondary to the stroke itself. In this review, we describe the variety of different sleep disorders associated with stroke and analyze their effect on stroke risk and outcome.
Methods: A search term-based literature review ("sleep," "insomnia," "narcolepsy," "restless legs syndrome," "periodic limb movements during sleep," "excessive daytime sleepiness" AND "stroke" OR "cerebrovascular" in PubMed; "stroke" and "sleep" in ClinicalTrials.gov) was performed. English articles from 1990 to March 2023 were considered.
Results: Increasing evidence suggests that sleep disorders are risk factors for stroke. In addition, sleep disturbance has been reported in half of all stroke sufferers; specifically, an increase is not only sleep-related breathing disorders but also periodic limb movements during sleep, narcolepsy, rapid eye movement (REM) sleep behavior disorder, insomnia, sleep duration, and circadian rhythm sleep-wake disorders. Poststroke sleep disturbance has been associated with worse outcome.
Conclusion: Sleep disorders are risk factors for stroke and associated with worse stroke outcome. They are also a common consequence of stroke. Recent guidelines suggest screening for sleep disorders after stroke. It is possible that treatment of sleep disorders could both reduce stroke risk and improve stroke outcome, although further data from clinical trials are required.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134986 | PMC |
| http://dx.doi.org/10.1177/17474930231212349 | DOI Listing |
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