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Value of Multiple Sleep Latency Test Periods and Clinical Correlation

Year 2013, Volume: 38 Issue: 4, 712 - 718, 01.12.2013

Abstract

Aim:Patients with complaints excessive daytime sleepiness were evaluated with Multiple Sleep Latency Test (MSLT) electrophysiological findings and researched narcolepsy symptoms like nightmare, hallucinations, cataplexy in this study. Material and Method: To study 26 patients were admitted retrospectively with complaints of excessive daytime sleepiness at Dokuz Eylul University Faculty of Medicine Sleep Clinic in the dates December 2009- December 2010. Cases of narcolepsy symptoms (hallucinations-nightmare-cataplexy) and MSLT were evaluated together. The onset of REM sleep (SOREM) was counted, than SOREM (+) and SOREM (-) patients" sleep latency and narcolepsy symptoms were compared. All data were analyzed with SPSS 20.0. Results: The mean sleep latency assessed sleep latencies, gradually widening towards the end of the first sleep period, and it has been observed to be statistically significant(p:0.007). Conclusion: The mean sleep latency assessed sleep latencies, gradually widening towards the end of the first sleep period, and it has been observed to be statistically significant(p:0.007) and we thinked that it can be decreased of need to sleep during nap periods.

References

  • Bixler ED, Kales A, Soldatos CR, Kales JD,Healey S. Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry. 1979; 136:1257
  • Lavie P. Sleep habits and sleep disturbances in industrial workers in Israel: main findings and some characteristics of workers complaining of excessive daytime sleepiness. Sleep. 1981; 4:147-58.
  • Mitler MM, Carskadon MA, Czeisler CA, Dement WC, Dinges DF, Graeber RC. Catastrophes, sleep, and public policy: consensus report. Sleep 1988; 11:1000
  • Hublin C, Partinen M, Kaprio J, Koskenvuo M, Guilleminault C. Epidemiology of narcolepsy. Sleep. 1994; 17: 7–12.
  • LongstrethWTJ, Koepsell TD, Ton TG, Hendrickson AF, van Belle G. The epidemiology of narcolepsy. Sleep. 2007; 30:13–26.
  • Ohayon MM, Priest RG, Zulley J, Smirne S, Paiva T. Prevalence of narcolepsy symptomatology and diagnosis in the European general population. Neurology. 2002; 58:1826–33.
  • Dauvilliers Y, Montplaisir J, Molinari N, Carlander B, Ondze B, Besset A, et al. Age at onset of narcolepsy in two large populations of patients in France and Quebec. Neurology. 2001; 57:2029–33.
  • Littner MR, Kushida C, Wise M, Davila DG, Morgenthaler T, Lee-Chiong T, Hirshkowitz M, Daniel LL, Bailey D, Berry RB, Kapen S, Kramer M. Standards of Practice Committee of the American Academy of Sleep Medicine. Practice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test. Sleep. 2005; 28: 113Richardson GS, Carskadon MA, Flagg W, Van den Hoed J, Dement WC, Mitler MM. Excessive daytime sleepiness in man: multiple sleep latency measurement in narcoleptic and control subjects. Electroencephalogr Clin Neurophysiol. 1978; 45: 621
  • Van den Hoed J, Kraemer H, Guilleminault C, Zarcone VP Jr, Miles LE, Dement WC, Mitler MM. Disorders of excessive daytime somnolence: polygraphic and clinical data for 100 patients. Sleep. 1981; 4:23-37.
  • Carskadon MA, Dement WC, Mitler MM, Roth T, Westbrook PR, Keenan S. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep. 1986; 9:519-24.
  • Billiard M, Bassetti C, Dauvilliers Y, Dolenc-Groselj L, Lammers GJ, Mayer G, Pollmächer T, Reading P, Sonka K; EFNS Task Force. EFNS guidelines on management of narcolepsy. Eur J Neurol. 2006; 13: 1035Aldrich MS, Chervin RD, Malow BA. Value of the multiple sleep latency test (MSLT) for the diagnosis of narcolepsy. Sleep. 1997; 20: 620-9.
  • Narcolepsy with cataplexy. In: International classification of sleep disorders: diagnostic and coding manual. Westchester, (IL): American Academy of Sleep Medicine. 2005; 81.
  • Narcolepsy with cataplexy. In: International classification of sleep disorders: diagnostic and coding manual. Westchester, (IL): American Academy of Sleep Medicine. 2005; 98.
  • Thorpy MJ, Westbrook P, Ferber R, Fredrickson P, Mahowald M, Perez-Guerra, Reite M, Smith P. An American Sleep Disorders Association Report: The clinical use of the multiple sleep latency test. Sleep 1992; 15:268-76.
  • Wise MS. Objective measures of sleepiness and wakefulness: application to the real world?:Review. J Clin Neurophysiol. 2006; 23:39-49.
  • Rechtschaffen A, Kales A. A manual of standardized terminology, techniques, and scoring system for sleep stages in human adults. Washington, DC: US Government Printing Office, 1968.
  • P. Boon, D. Pevernagie and D. Schrans, Hypersomnolence and narcolepsy; a pragmatic diagnostic neurophysiological approach. Acta Neurol. Belg. 2002; 102: 11-8
  • Emmanuel Mignot, Ling Lin, Laurel Finn,Cecilia Lopes,Kathryn Pluff, Mary L. Correlates of sleeponset REM periods during the Multiple Sleep Latency Test in community adults. SundstromBrain. 2006; 129; 1609–23
  • Yazışma Adresi / Address for Correspondence: Dr. Ahmet Turan Evlice Çukurova Üniversitesi Tıp Fakültesi, Nöroloji A nabilim Dalı 01330 Balcalı-ADANA e-mail: aevlice@yahoo.com geliş tarihi/received :19.05.2013 kabul tarihi/accepted:03.06.2013

Multipl Sleep Latans Test Periyotlarının Değeri ve Klinik Korelasyonu

Year 2013, Volume: 38 Issue: 4, 712 - 718, 01.12.2013

Abstract

Amaç: Bu çalışmanın amacı gündüz aşırı uykululuk yakınması nedeniyle multipl sleep latans test (MSLT) yapılan hastalarda çekim periyodlarındaki elektrofizyolojik bulgular ile narkolepsi semptomlarının ilişkilerinin incelenmesidir. Materyal ve Metod: Çalışmaya 2009-2010 yılları arasında Dokuz Eylül Üniversitesi Tıp Fakültesi Uyku Polikliniğine gündüz aşırı uykululuk yakınmasıyla başvurmuş 26 olgu retrospektif olarak alınmıştır. Olguların narkolepsi semptomları (karabasan-halusinasyon-katapleksi) ve MSLT ile belirlenen REM başlangıçlı uyku (SOREM) sayısı, SOREM (+) ve SOREM (-) hastalardaki uyku latansları karşılaştırılmıştır. Veriler SPSS 20.0 ile analiz edilmiştir. Bulgular: Olguların ortalama uyku latansları değerlendirildiğinde uyku latanslarının ilk uyku periyodundan sona doğru giderek uzadığı ve bunun istatistiksel olarak anlamlı olduğu gözlenmiştir (p:0.007). Sonuç: Ortalama uyku latanslarının ilk uyku periyodundan sona doğru giderek uzadığı, bunun tekrarlayan uyku periyodlarıyla giderek azalan uyku yüküne bağlı olduğu düşünülmüştür.

References

  • Bixler ED, Kales A, Soldatos CR, Kales JD,Healey S. Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry. 1979; 136:1257
  • Lavie P. Sleep habits and sleep disturbances in industrial workers in Israel: main findings and some characteristics of workers complaining of excessive daytime sleepiness. Sleep. 1981; 4:147-58.
  • Mitler MM, Carskadon MA, Czeisler CA, Dement WC, Dinges DF, Graeber RC. Catastrophes, sleep, and public policy: consensus report. Sleep 1988; 11:1000
  • Hublin C, Partinen M, Kaprio J, Koskenvuo M, Guilleminault C. Epidemiology of narcolepsy. Sleep. 1994; 17: 7–12.
  • LongstrethWTJ, Koepsell TD, Ton TG, Hendrickson AF, van Belle G. The epidemiology of narcolepsy. Sleep. 2007; 30:13–26.
  • Ohayon MM, Priest RG, Zulley J, Smirne S, Paiva T. Prevalence of narcolepsy symptomatology and diagnosis in the European general population. Neurology. 2002; 58:1826–33.
  • Dauvilliers Y, Montplaisir J, Molinari N, Carlander B, Ondze B, Besset A, et al. Age at onset of narcolepsy in two large populations of patients in France and Quebec. Neurology. 2001; 57:2029–33.
  • Littner MR, Kushida C, Wise M, Davila DG, Morgenthaler T, Lee-Chiong T, Hirshkowitz M, Daniel LL, Bailey D, Berry RB, Kapen S, Kramer M. Standards of Practice Committee of the American Academy of Sleep Medicine. Practice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test. Sleep. 2005; 28: 113Richardson GS, Carskadon MA, Flagg W, Van den Hoed J, Dement WC, Mitler MM. Excessive daytime sleepiness in man: multiple sleep latency measurement in narcoleptic and control subjects. Electroencephalogr Clin Neurophysiol. 1978; 45: 621
  • Van den Hoed J, Kraemer H, Guilleminault C, Zarcone VP Jr, Miles LE, Dement WC, Mitler MM. Disorders of excessive daytime somnolence: polygraphic and clinical data for 100 patients. Sleep. 1981; 4:23-37.
  • Carskadon MA, Dement WC, Mitler MM, Roth T, Westbrook PR, Keenan S. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep. 1986; 9:519-24.
  • Billiard M, Bassetti C, Dauvilliers Y, Dolenc-Groselj L, Lammers GJ, Mayer G, Pollmächer T, Reading P, Sonka K; EFNS Task Force. EFNS guidelines on management of narcolepsy. Eur J Neurol. 2006; 13: 1035Aldrich MS, Chervin RD, Malow BA. Value of the multiple sleep latency test (MSLT) for the diagnosis of narcolepsy. Sleep. 1997; 20: 620-9.
  • Narcolepsy with cataplexy. In: International classification of sleep disorders: diagnostic and coding manual. Westchester, (IL): American Academy of Sleep Medicine. 2005; 81.
  • Narcolepsy with cataplexy. In: International classification of sleep disorders: diagnostic and coding manual. Westchester, (IL): American Academy of Sleep Medicine. 2005; 98.
  • Thorpy MJ, Westbrook P, Ferber R, Fredrickson P, Mahowald M, Perez-Guerra, Reite M, Smith P. An American Sleep Disorders Association Report: The clinical use of the multiple sleep latency test. Sleep 1992; 15:268-76.
  • Wise MS. Objective measures of sleepiness and wakefulness: application to the real world?:Review. J Clin Neurophysiol. 2006; 23:39-49.
  • Rechtschaffen A, Kales A. A manual of standardized terminology, techniques, and scoring system for sleep stages in human adults. Washington, DC: US Government Printing Office, 1968.
  • P. Boon, D. Pevernagie and D. Schrans, Hypersomnolence and narcolepsy; a pragmatic diagnostic neurophysiological approach. Acta Neurol. Belg. 2002; 102: 11-8
  • Emmanuel Mignot, Ling Lin, Laurel Finn,Cecilia Lopes,Kathryn Pluff, Mary L. Correlates of sleeponset REM periods during the Multiple Sleep Latency Test in community adults. SundstromBrain. 2006; 129; 1609–23
  • Yazışma Adresi / Address for Correspondence: Dr. Ahmet Turan Evlice Çukurova Üniversitesi Tıp Fakültesi, Nöroloji A nabilim Dalı 01330 Balcalı-ADANA e-mail: aevlice@yahoo.com geliş tarihi/received :19.05.2013 kabul tarihi/accepted:03.06.2013
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

İbrahim Öztura This is me

Ahmet Turan Evlice This is me

Barış Baklan This is me

Publication Date December 1, 2013
Published in Issue Year 2013 Volume: 38 Issue: 4

Cite

MLA Öztura, İbrahim et al. “Multipl Sleep Latans Test Periyotlarının Değeri Ve Klinik Korelasyonu”. Cukurova Medical Journal, vol. 38, no. 4, 2013, pp. 712-8.