Disorganized sleep-wake schedule associated with neuroendocrine abnormalities in dementia. A clinical study

Demented patients were investigated by blood sampling at 10 occasions during a 24‐hour period. Serum levels of melatonin and cortisol were determined. One patient with probable vascular dementia had a severely disorganized sleep‐wake schedule and showed disturbed patterns of serum melatonin and cort...

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Veröffentlicht in:International journal of geriatric psychiatry 1995-02, Vol.10 (2), p.107-113
Hauptverfasser: Björkstén, Karin Sparring, Basun, Hans, Wetterberg, Lennart
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container_title International journal of geriatric psychiatry
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creator Björkstén, Karin Sparring
Basun, Hans
Wetterberg, Lennart
description Demented patients were investigated by blood sampling at 10 occasions during a 24‐hour period. Serum levels of melatonin and cortisol were determined. One patient with probable vascular dementia had a severely disorganized sleep‐wake schedule and showed disturbed patterns of serum melatonin and cortisol. After withdrawal of alprenolol, substitution of a vitamin B12 deficiency and cataract surgery, the patient regained normal sleep habits and a normal circadian pattern of serum cortisol and melatonin. A patient with frontal lobe dementia and a disorganized sleep‐wake schedule showed a disturbed melatonin rhythm, unexpected cortisol peaks and a disability to suppress melatonin by light. Two Alzheimer patients with regular sleep habits had normal circadian patterns of serum melatonin and cortisol.
doi_str_mv 10.1002/gps.930100205
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source Wiley Online Library Journals Frontfile Complete
subjects Biological and medical sciences
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
dementia
Disorganized sleep-wake schedule
Medical sciences
Neurology
serum cortisol
serum melatonin
vitamin B12
title Disorganized sleep-wake schedule associated with neuroendocrine abnormalities in dementia. A clinical study
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