Distinctive features of NREM parasomnia behaviors in parkinson's disease and multiple system atrophy

Ratti, PL; Sierra-Peña, M; Manni, R; Simonetta-Moreau, M; Bastin, J; Mace, H; Rascol, O; David, O

HERO ID

3539608

Reference Type

Journal Article

Year

2015

Language

English

PMID

25756280

HERO ID 3539608
In Press No
Year 2015
Title Distinctive features of NREM parasomnia behaviors in parkinson's disease and multiple system atrophy
Authors Ratti, PL; Sierra-Peña, M; Manni, R; Simonetta-Moreau, M; Bastin, J; Mace, H; Rascol, O; David, O
Journal PLoS ONE
Volume 10
Issue 3
Page Numbers e0120973
Abstract <strong>OBJECTIVE: </strong>To characterize parasomnia behaviors on arousal from NREM sleep in Parkinson's Disease (PD) and Multiple System Atrophy (MSA).<br /><br /><strong>METHODS: </strong>From 30 patients with PD, Dementia with Lewy Bodies/Dementia associated with PD, or MSA undergoing nocturnal video-polysomnography for presumed dream enactment behavior, we were able to select 2 PD and 2 MSA patients featuring NREM Parasomnia Behviors (NPBs). We identified episodes during which the subjects seemed to enact dreams or presumed dream-like mentation (NPB arousals) versus episodes with physiological movements (no-NPB arousals). A time-frequency analysis (Morlet Wavelet Transform) of the scalp EEG signals around each NPB and no- NPB arousal onset was performed, and the amplitudes of the spectral frequencies were compared between NPB and no-NPB arousals.<br /><br /><strong>RESULTS: </strong>19 NPBs were identified, 12 of which consisting of 'elementary' NPBs while 7 resembling confusional arousals. With quantitative EEG analysis, we found an amplitude reduction in the 5-6 Hz band 40 seconds before NPBs arousal as compared to no-NPB arousals at F4 and C4 derivations (p&lt;0.01).<br /><br /><strong>CONCLUSIONS: </strong>Many PD and MSA patients feature various NREM sleep-related behaviors, with clinical and electrophysiological differences and similarities with arousal parasomnias in the general population.<br /><br /><strong>SIGNIFICANCE: </strong>This study help bring to attention an overlooked phenomenon in neurodegenerative diseases.
Doi 10.1371/journal.pone.0120973
Pmid 25756280
Wosid WOS:000351275700075
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English