수면정신생리

수면정신생리 (7권2호 79-83)

Sleep Apnea and Sleep Disturbances in Neurological Disorders

신경과 질환에 동반되는 수면무호흡증과 수면의 문제

Hong, Seung-Bong;

Department of Neurology, Samsung Medical Center, Sungkyunkwan University;

Abstract

Sleep disturbances are frequently associated with neurological disorders. Sleep disorders interfere with rehabilitation of patients with neurological disorders such as stroke and may increase the severity of their symptoms and recurrence rate of stroke. The treatment of sleep apnea syndrome is particularly important in managing patients with cerebral infarction of whom 50-80% have moderate to severe sleep apnea. Sleep apnea produces not only poor quality sleep but also excessive daytime sleepiness, fatigue and lack of energy. Sleep problems frequently found in patients with dementia are sleep-wake cycle abnormality, fragmentation of sleep, nocturnal insomnia, decreased slow wave sleep and REM sleep, and sleep disordered breathing. The management of sleep disturbances is very important for controlling symptoms such as nocturnal wandering and sundowning syndrome in patients with dementia. Parkinson''s disease and epilepsy are other neurological disorders that may have sleep disturbances.

Keywords

Neurological disorder;Sleep disorder;Sleep apnea;Stroke;Dementia;Parkinson''s disease;Epilepsy;