Hypnic jerks are an underestimated sleep motor phenomenon in patients with parkinsonism. a video-polysomnographic and neurophysiological study

Highlights • Hypnic jerks are a frequent and constant video-polysomnographic finding in patients with parkinsonism. • Hypnic jerks in parkinsonism patients seem to appear early in the disease course. • Detailed neurophysiological analysis does not show any recurring, ordered propagation pattern of m...

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Veröffentlicht in:Sleep medicine 2016-10, Vol.26, p.37-44
Hauptverfasser: Chiaro, Giacomo, MD, Calandra-Buonaura, Giovanna, MD, PhD, Sambati, Luisa, MD, PhD, Cecere, Annagrazia, MSc, Ferri, Caterina, MD, Caletti, Maria Turchese, MD, Cortelli, Pietro, MD, PhD, Provini, Federica, MD, PhD
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container_issue
container_start_page 37
container_title Sleep medicine
container_volume 26
creator Chiaro, Giacomo, MD
Calandra-Buonaura, Giovanna, MD, PhD
Sambati, Luisa, MD, PhD
Cecere, Annagrazia, MSc
Ferri, Caterina, MD
Caletti, Maria Turchese, MD
Cortelli, Pietro, MD, PhD
Provini, Federica, MD, PhD
description Highlights • Hypnic jerks are a frequent and constant video-polysomnographic finding in patients with parkinsonism. • Hypnic jerks in parkinsonism patients seem to appear early in the disease course. • Detailed neurophysiological analysis does not show any recurring, ordered propagation pattern of muscle activity during hypnic jerks. • Hypnic jerks share the same random motor activation and propagation pattern in both healthy subjects and in patients with parkinsonism. • The lack of any ordered propagation of the spreading of muscular contraction suggests a subcortical origin of the jerks, confirming our previous findings in a healthy patient.
doi_str_mv 10.1016/j.sleep.2016.07.011
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subjects Aged
Electromyography
Female
Humans
Hypnic jerks
Male
Middle Aged
Motor Activity
Muscle, Skeletal - physiopathology
Myoclonus
Myoclonus - complications
Myoclonus - physiopathology
Neurology
Nocturnal Myoclonus Syndrome - complications
Nocturnal Myoclonus Syndrome - physiopathology
Parkinsonian Disorders - complications
Parkinsonian Disorders - physiopathology
Parkinsonism
Polysomnography
Prospective Studies
Sleep
Sleep fragmentation
Sleep Medicine
Sleep Stages
Sleep starts
Video-polysomnography
title Hypnic jerks are an underestimated sleep motor phenomenon in patients with parkinsonism. a video-polysomnographic and neurophysiological study
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