Comorbid parasomnias in narcolepsy and idiopathic hypersomnia: more REM than NREM parasomnias.

Adult Disorders of Excessive Somnolence / complications Female Humans Idiopathic Hypersomnia / complications Male Narcolepsy / complications Parasomnias / complications Sleep, REM
REM sleep behavior disorder antidepressants idiopathic hypersomnia narcolepsy nightmare disorder sleep talking sleep terrors sleep-related eating disorder sleepwalking

Journal

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977

Informations de publication

Date de publication:
01 05 2022
Historique:
pubmed: 6 1 2022
medline: 3 5 2022
entrez: 5 1 2022
Statut: ppublish

Résumé

To assess the frequency, determinants, and clinical impact of clinical rapid eye movement (REM) and non-REM (NREM) parasomnias in adult patients with narcolepsy type 1 (NT1), narcolepsy type 2 (NT2), and idiopathic hypersomnia compared with healthy controls. Familial and past and current personal parasomnias were assessed by questionnaire and medical interviews in 710 patients (220 NT1, 199 NT2, and 221 idiopathic hypersomnia) and 595 healthy controls. Except for sleep-related eating disorder, current NREM parasomnias were rare in all patient groups and controls. Sleep-related eating disorder was more frequent in NT1 patients (7.9% vs 1.8% in NT2 patients, 2.1% in patients with idiopathic hypersomnia, and 1% in controls) and associated with disrupted nighttime sleep (odds ratio = 3.9) and nocturnal eating in full awareness (odds ratio = 6.9) but not with sex. Clinical REM sleep behavior disorder was more frequent in NT1 patients (41.4%, half being violent) than in NT2 patients (13.2%) and affected men more often than women (odds ratio = 2.4). It was associated with disrupted nighttime sleep, depressive symptoms, and antidepressant use. Frequent (> 1/week) nightmares were reported by 39% of patients with NT1, 29% with NT2, and 27.8% with idiopathic hypersomnia (vs 8.3% in controls) and were associated with depressive symptoms in narcolepsy. No parasomnia (except sleep-related hallucinations) worsened daytime sleepiness. In patients with central disorders of hypersomnolence, comorbid NREM parasomnias (except for sleep-related eating disorder) are rare and do not worsen sleepiness. In contrast, REM parasomnias are prevalent (especially in NT1) and are associated with male sex, disrupted nighttime sleep, depressive symptoms, and antidepressant use. Leu-Semenescu S, Maranci J-B, Lopez R, et al. Comorbid parasomnias in narcolepsy and idiopathic hypersomnia: more REM than NREM parasomnias.

Identifiants

DOI: 10.5664/jcsm.9862 PMID: 34984974 PMC: PMC9059608
pubmed: 34984974
pii: jcsm.9862
doi: 10.5664/jcsm.9862
pmc: PMC9059608
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1355-1364

Informations de copyright

© 2022 American Academy of Sleep Medicine.

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Auteurs

Smaranda Leu-Semenescu (S)

Sleep Disorders, Pitié-Salpêtrière University Hospital, AP-HP Sorbonne, Paris, France.
National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.

Jean-Baptiste Maranci (JB)

Sleep Disorders, Pitié-Salpêtrière University Hospital, AP-HP Sorbonne, Paris, France.
National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.
Sorbonne University, Paris, France.

Régis Lopez (R)

National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.
Sleep Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, CHU Montpellier, France.
Institute for Neurosciences of Montpellier (INM), Montpellier University, INSERM, Montpellier, France.

Xavier Drouot (X)

Clinical Neurophysiology Department, La Miletrie University Hospital, Poitiers, France.

Pauline Dodet (P)

Sleep Disorders, Pitié-Salpêtrière University Hospital, AP-HP Sorbonne, Paris, France.
National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.

Ana Gales (A)

Sleep Disorders, Pitié-Salpêtrière University Hospital, AP-HP Sorbonne, Paris, France.
National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.

Elisabeth Groos (E)

Sleep Disorders, Pitié-Salpêtrière University Hospital, AP-HP Sorbonne, Paris, France.
National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.

Lucie Barateau (L)

National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.
Sleep Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, CHU Montpellier, France.
Institute for Neurosciences of Montpellier (INM), Montpellier University, INSERM, Montpellier, France.

Patricia Franco (P)

National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.
Pediatric Sleep Unit, Mother-Children Hospital, Hospices Civils de Lyon, University Lyon 1, France.
Integrative Physiology of Brain Arousal System, Centre de Recherches en Neurosciences (CRNL), INSERM-U1028, CNRS UMR5292, University Lyon 1, Lyon, France.

Michel Lecendreux (M)

National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.
Pediatric Sleep Center, Hospital Robert-Debré, AP-HP, Paris, France.

Yves Dauvilliers (Y)

National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.
Sleep Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, CHU Montpellier, France.
Institute for Neurosciences of Montpellier (INM), Montpellier University, INSERM, Montpellier, France.

Isabelle Arnulf (I)

Sleep Disorders, Pitié-Salpêtrière University Hospital, AP-HP Sorbonne, Paris, France.
National Reference Center for Orphan Diseases, Narcolepsy, Idiopathic Hypersomnia and Kleine-Levin Syndrome, Paris, France.
Sorbonne University, Paris, France.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Comorbid parasomnias in narcolepsy and...
questionsmedicales.fr › Troubles mentaux › Troubles de la veille et du sommeil › Dyssomnies › Troubles du sommeil d'origine intrinsèque › Troubles du sommeil par somnolence excessive › Comorbid parasomnias in narcolepsy and...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Comorbid parasomnias in narcolepsy and...
questionsmedicales.fr › Troubles mentaux › Troubles de la veille et du sommeil › Dyssomnies › Troubles du sommeil d'origine intrinsèque › Troubles du sommeil par somnolence excessive › Hypersomnie idiopathique › Comorbid parasomnias in narcolepsy and...
questionsmedicales.fr › Troubles mentaux › Troubles de la veille et du sommeil › Dyssomnies › Troubles du sommeil d'origine intrinsèque › Troubles du sommeil par somnolence excessive › Narcolepsie › Comorbid parasomnias in narcolepsy and...
questionsmedicales.fr › Troubles mentaux › Troubles de la veille et du sommeil › Parasomnies › Comorbid parasomnias in narcolepsy and...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sommeil › Phases du sommeil › Sommeil paradoxal › Comorbid parasomnias in narcolepsy and...