1,166 results match your criteria: "Periodic Limb Movement Disorder"

[Sleep Disorders].

No Shinkei Geka

November 2024

Department of Neurology, Dokkyo Medical University.

Article Synopsis
  • Insomnia is a prevalent sleep disorder characterized by trouble falling asleep, staying asleep, or waking up too early, leading to issues functioning during the day.
  • Other types of sleep disorders mentioned include breathing-related issues, movement disorders like restless legs syndrome, and parasomnias such as sleepwalking.
  • The article focuses on various sleep disorders commonly encountered in clinical settings.
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Article Synopsis
  • Restless legs syndrome (RLS) is a common sleep disorder that leads to an uncontrollable urge to move, often temporarily relieved by movement, but responses to exercise can vary widely among individuals.
  • A study involving 527 participants used surveys to explore how different factors like age, sex, RLS severity, and physical activity levels influence perceptions of whether exercise helps or worsens RLS symptoms.
  • The findings revealed that lower RLS severity, higher physical activity, and certain health conditions were linked to improvement from exercise, while female sex, higher BMI, and greater RLS severity were associated with a negative response to exercise.
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Sleep-related movement disorders in children: recent updates.

World J Pediatr

November 2024

Sleep Center, Division of Pulmonary and Sleep Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 7041, Cincinnati, OH, USA.

Article Synopsis
  • Sleep-related movement disorders (SRMDs) like restless legs syndrome (RLS) and periodic limb movement disorder (PLMD) are common in children but often go unrecognized; a new disorder called restless sleep disorder (RSD) has also been identified.
  • The causes of these disorders include genetic factors, problems with dopamine function, and iron deficiency, with RLS and RSD possibly sharing similar mechanisms.
  • Effective treatments are available, including iron therapy and specific medications, but further research is necessary to better understand RSD and improve care for affected children.
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  • High-quality sleep is crucial for both physical health and brain function, but periodic leg movements during sleep (PLMS) can disrupt it and affect many people globally.
  • Traditional methods for monitoring PLMS, like polysomnography, are expensive and not practical for long-term home use.
  • This study introduces a new method using flexible sensors (TENGs) to accurately detect PLMS with enhanced signal processing, offering a comfortable and cost-effective solution for monitoring sleep at home.
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Background: Neuronal ceroid lipofuscinosis (NCL) is a rare hereditary lysosomal storage disorder causing neuronal loss and progressive neurodegeneration. variants cause varied phenotypic presentations.

Case Report: A 49-year-old male presented with late adult-onset progressive focal right lower limb dystonia.

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There is a growing body of evidence regarding the clinical significance of PLMS, and this movement disorder is of concern in both clinical and scientific contexts. Leg actigraphy is a convenient and promising method for screening periodic limb movements in sleep (PLMSs). This study aims to demonstrate the reliability of the SOMNOwatch™ actigraph for detecting periodic limb movements in sleep.

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Article Synopsis
  • The study analyzes catathrenia, a sleep-related breathing disorder, by examining clinical features and polysomnographic data in 47 patients diagnosed with nocturnal groaning to determine its characteristics and relationship with other sleep disorders.
  • Findings show no significant gender difference among participants, with an average age of onset around 18 years, and nocturnal groaning events being more common during specific sleep stages and positions.
  • The results suggest that catathrenia may involve a combination of different sleep disorders due to the presence of sleep bruxism in 30% of cases, indicating a need for further research on its origins and variations.
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Article Synopsis
  • * The study involved 3,691 adult patients who completed a sleep disorder screener and were assessed for psychiatric conditions using established diagnostic methods.
  • * Results show a strong association between sleep disorders in ADHD patients and comorbid conditions such as depression, anxiety, substance use disorder, personality disorders, and PTSD, highlighting the need for systematic screening to improve treatment approaches.
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Article Synopsis
  • Researchers explored the differences between "brain-first" and "body-first" types of Parkinson's disease by studying patients with isolated REM sleep behavior disorder (iRBD) and their periodic limb movements during sleep (PLMS).
  • Out of the 191 patients examined, 48.2% had a high PLMS index (PLMSi > 15), which was linked to better performance in executive functions despite poorer sleep quality.
  • The study suggests that higher PLMSi correlates with increased wakefulness and decreased overall sleep efficiency, indicating a potential connection between sleep disruptions and cognitive status in these patients.
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  • Delirium occurs in up to 50% of patients after high-risk surgeries and can negatively impact long-term health outcomes; the study aimed to use machine learning to predict this condition using sleep data from polysomnography (PSG) and questionnaires.
  • Researchers analyzed data from 912 adults who had surgeries under general anesthesia, identifying key risk factors for delirium such as medication use, surgery duration, and sleep issues like REM episodes and daytime sleepiness.
  • The machine learning model showed strong predictive capabilities, achieving an AUC of 0.84 when combining clinical and PSG data, emphasizing the importance of sleep-related factors in identifying patients at risk for delirium post-surgery.
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Introduction: This guideline establishes clinical practice recommendations for Treatment of Restless Legs Syndrome (RLS) and Periodic Limb Movement Disorder (PLMD) in adults and pediatric patients.

Methods: The American Academy of Sleep Medicine (AASM) commissioned a task force of experts in sleep medicine to develop recommendations and assign strengths based on a systematic review of the literature and an assessment of the evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. The task force provided a summary of the relevant literature and the certainty of evidence, the balance of benefits and harms, patient values and preferences, and resource use considerations that support the recommendations.

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Introduction: This systematic review provides supporting evidence for the accompanying clinical practice guideline on the treatment of restless legs syndrome (RLS) and periodic limb movement disorder (PLMD).

Methods: The American Academy of Sleep Medicine commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies that compared the use of pharmacological or nonpharmacological treatment to no treatment to improve patient-important outcomes.

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Article Synopsis
  • Parasomnias and sleep-related movement disorders (SRMD) are sleep disorders that can be triggered by certain medications, and this study aimed to review the literature on this association from January 2020 to June 2023.
  • Over 900 records were examined, identifying 73 drugs linked to common drug-induced parasomnias like nightmares and sleepwalking, as well as SRMDs such as restless legs syndrome and bruxism.
  • The study discusses potential mechanisms behind these disorders related to various neurotransmitters, including the impact of antipsychotics, opioids, and medications affecting serotonin, noradrenergic, and dopamine pathways, highlighting gaps in drug labeling for these conditions.
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Article Synopsis
  • Restless legs syndrome (RLS) and periodic leg movements during sleep (PLMS) are common sleep disorders that affect people differently based on sex and age, with this study investigating those differences from ages 2 to over 80.
  • The study analyzed data from drug-free patients with RLS, finding that females experienced a quicker rise in PLMS before age 10, while males showed a more continuous increase even after age 75.
  • Results indicate a complex relationship between sex hormones and sleep disorders, suggesting the need for individualized treatment strategies to improve sleep health across different age groups.
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[Not Available].

MMW Fortschr Med

September 2024

Helios St. Johannes Klinik Duisburg, Dieselstraße 185, 47166, Duisburg, Germany.

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Sleep is an integral and vital component of human life, contributing significantly to overall health and well-being, but a considerable number of people worldwide experience sleep disorders. Sleep disorder diagnosis heavily depends on accurately classifying sleep stages. Traditionally, this classification has been performed manually by trained sleep technologists that visually inspect polysomnography records.

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Safinamide effect on sleep architecture of motor fluctuating Parkinson's disease patients: A polysomnographic rasagiline-controlled study.

Parkinsonism Relat Disord

October 2024

Department of Systems Medicine, University of Rome "Tor Vergata", Via Montpellier 1, 00133, Rome, Italy; Sleep Medicine Centre, Neurology Unit, University Hospital of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.

Introduction: Sleep problems commonly occur in Parkinson's disease (PD) and significantly affect patients' quality of life. A possible effect on subjective sleep disturbances of monoamine oxidase-B inhibitors (MAOB-Is) has been described.

Methods: This prospective, observational, single-centre study involved 45 fluctuating PD patients complaining sleep problems as documented by the PD Sleep Scale -2nd version (PDSS-2 ≥18) starting rasagiline 1 mg/daily or safinamide 100 mg/daily, according to common clinical practice, and maintaining antiparkinsonian therapy unchanged.

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Objectives: This study aims to investigate sex differences in response to iron supplementation in children and adolescents suffering from sleep-related movement disorders such as Restless Legs Syndrome (RLS), Periodic Limb Movement Disorder (PLMD), and Restless Sleep Disorder (RSD).

Methods: Data were retrieved and reanalyzed from previous studies involving children with RLS, PLMD, or RSD. The analysis included 54 patients treated with intravenous (IV) ferric carboxymaltose (FCM) and 31 patients treated with oral ferrous sulfate (FS).

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Article Synopsis
  • Traumatic brain injury (TBI) is common in veterans and is linked to various long-term sleep-wake disorders (SWD) that are not fully understood, which complicates diagnosis and treatment.
  • A literature review identified gaps in knowledge regarding the pathophysiology of TBI-related sleep issues, compared them with post-traumatic stress disorder sleep disturbances, and highlighted the importance of biomarkers and treatment strategies.
  • The conclusion stresses that a better understanding of the scientific basis for TBI and its impact on sleep is needed, focusing on biomarkers and neuroimaging to improve diagnosis and therapy in affected veterans.
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Addressing the challenges and gaps in understanding pediatric periodic limb movement disorder.

Sleep Med Rev

August 2024

Sleep Medicine Center, Neurophysiopathology and Movement Disorders Unit, Department of Clinical and Experimental Medicine, University of Messina, Azienda Ospedaliera Universitaria Gaetano Martino, Centro Disturbi del Sonno - Pad. H, Via Consolare Valeria, 1, 98124, Messina, Italy. Electronic address:

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Introduction: Children born prematurely (<37 weeks' gestation) are at increased risk of perinatal complications, comorbidities, and iron deficiency. Iron deficiency is associated with restless legs syndrome and periodic limb movement disorder. In this study, we assessed the prevalence of restless sleep disorder (RSD) and elevated periodic limb movements during sleep (PLMS) in children born prematurely who underwent polysomnography.

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Periodic limb movements during sleep in children with neuromuscular disease or cerebral palsy - An important potential contributor to sleep-related morbidity.

Sleep Med

September 2024

Melbourne Children's Sleep Centre, Monash Children's Hospital, Monash Health, Melbourne, Australia; Department of Paediatrics, Monash University, Melbourne, Australia.

Objectives: Poor sleep is frequently reported in children with neuromuscular diseases (NMD) and cerebral palsy (CP) however breathing disorders during sleep are often the clinical focus. Periodic limb movements (PLMs) have an increased prevalence in adults with NMD and may contribute to sleep disturbance in this population. We assessed the prevalence of PLMs in children with NMD or CP.

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Study Objectives: Excessive fragmentary myoclonus (EFM) is a frequent finding in patients undergoing video-polysomnography (VPSG). We aimed to evaluate the potential effect of sleep-related breathing disorder's treatment with positive airway pressure (PAP) therapy on EFM.

Methods: One hundred consecutive patients with EFM and sleep-related breathing disorder subsequently treated with PAP at the sleep lab of the Medical University of Innsbruck, Department of Neurology, Austria, were included.

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