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Titolo:
Amyotrophic lateral sclerosis associated with insomnia and the aggravationof sleep-disordered breathing
Autore:
Takekawa, H; Kubo, J; Miyamoto, T; Miyamoto, M; Hirata, K;
Indirizzi:
Dokkyo Univ, Sch Med, Dept Neurol, Mibu, Tochigi 3210293, Japan Dokkyo Univ Mibu Tochigi Japan 3210293 urol, Mibu, Tochigi 3210293, Japan
Titolo Testata:
PSYCHIATRY AND CLINICAL NEUROSCIENCES
fascicolo: 3, volume: 55, anno: 2001,
pagine: 263 - 264
SICI:
1323-1316(200106)55:3<263:ALSAWI>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Keywords:
amyotrophic lateral sclerosis; BiPAP (R) therapy; intercostal muscle; nasal positive airway pressure.; paraspinal muscle; sleep-disordered breathing;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
4
Recensione:
Indirizzi per estratti:
Indirizzo: Miyamoto, M Dokkyo Univ, Sch Med, Dept Neurol, Kitakobayashi 880, Mibu, Tochigi 3210293, Japan Dokkyo Univ Kitakobayashi 880 Mibu Tochigi Japan 3210293 Japan
Citazione:
H. Takekawa et al., "Amyotrophic lateral sclerosis associated with insomnia and the aggravationof sleep-disordered breathing", PSY CLIN N, 55(3), 2001, pp. 263-264

Abstract

A case of amyotrophic lateral sclerosis (ALS) diagnosed by sleep-disordered breathing is described. The patient's chief complaints were insomnia and nocturnal dyspnea after taking a hypnotic drug. On examination, he showed restrictive ventilatory impairment, alveolar hypoventilation and hypoxia. Polysomnographic examination revealed marked hypoxia during REM sleep periods, decreased duration of REM sleep periods, and increased sleep disruption. Amyotrophic lateral sclerosis was diagnosed by the neurological finding of paraspinal muscle weakness and neurogenic changes revealed by needle electromyography and muscle biopsy The daytime and nocturnal respiratory insufficiency improved after nasal bilevel positive airway pressure therapy. Amyotrophic lateral sclerosis should be suspected as a cause of insomnia and nocturnal dyspnea.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 22:55:16