Decrease of excessive daytime sleepiness after shunt treatment for normal pressure hydrocephalus.
Epworth sleepiness scale
cerebrospinal fluid shunts
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
14 Sep 2024
14 Sep 2024
Historique:
revised:
13
07
2024
received:
20
05
2024
accepted:
26
08
2024
medline:
14
9
2024
pubmed:
14
9
2024
entrez:
14
9
2024
Statut:
aheadofprint
Résumé
Sleepiness and apathy are often reported in patients with normal pressure hydrocephalus. However, research on outcomes after shunt surgery has mainly focused on the classical triad symptoms, that is, gait, cognition, and bladder dysfunction. This study aimed to describe the effects of shunt treatment on excessive daytime sleepiness and whether there was a relation to changes in ventricular volume. Pre- and postsurgical excessive daytime sleepiness was investigated using the Epworth sleepiness scale in a sample of 32 patients with normal pressure hydrocephalus who underwent shunt surgery. Data were gathered before surgery and at 1, 2, and 3 months after surgery and with different settings of the shunt. In the total sample, the Epworth sleepiness scale improved by a median of 1.5 points at 1 month after surgery, p = 0.026. The improvement was predominately found in the group (n = 6) with high presurgical daytime sleepiness (Epworth sleepiness scale >12) (median = 12 points, p = 0.035) compared with a median change of 0 points (p = 0.47) in the group with Epworth sleepiness scale ≤12 (n = 26). Between the postsurgical follow-ups, no further change in the Epworth sleepiness scale score was observed. The Epworth sleepiness scale score did not correlate with clinical tests nor with ventricular volume. Daytime sleepiness seems to be another domain of normal pressure hydrocephalus symptomatology in addition to the classical triad that is responsive to treatment, at least when pronounced. The Epworth sleepiness scale is a quick test to administer and could be a valuable addition to pre-surgical screening for treatable symptoms.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14333Subventions
Organisme : NEURO Sweden
ID : F2023-0041
Organisme : Syskonen Perssons Donationsfond
ID : JLL-850991
Organisme : Syskonen Perssons Donationsfond
ID : JLL-931312
Organisme : Syskonen Perssons Donationsfond
ID : JLL-940107
Organisme : Syskonen Perssons Donationsfond
ID : JLL-968015
Organisme : Syskonen Perssons Donationsfond
ID : JLL-980814
Organisme : Syskonen Perssons Donationsfond
ID : JLL-993886
Organisme : Jämtlands Läns Cancer och Omvårdnadsfond
ID : 2105
Organisme : Forskningsfonden för klinisk neurovetenskap vid Norrlands Universitetssjukhus
Organisme : Uppsala University
Organisme : Region Jämtland Härjedalen
ID : JLL-940104
Organisme : Region Jämtland Härjedalen
ID : JLL-850561
Organisme : Region Jämtland Härjedalen
ID : JLL-968014
Organisme : Region Jämtland Härjedalen
ID : JLL-980812
Organisme : Region Jämtland Härjedalen
ID : JLL-993879
Informations de copyright
© 2024 The Author(s). Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.
Références
Agerskov, S., Hellstrom, P., Andren, K., Kollen, L., Wikkelso, C., & Tullberg, M. (2018). The phenotype of idiopathic normal pressure hydrocephalus – a single center study of 429 patients. Journal of the Neurological Sciences, 15(391), 54–60.
Allali, G., Laidet, M., Armand, S., Saj, A., Krack, P., & Assal, F. (2018). Apathy in idiopathic normal pressure hydrocephalus: A marker of reversible gait disorders. International Journal of Geriatric Psychiatry, 33(5), 735–742.
Bae, Y. J., Choi, B. S., Kim, J. M., Choi, J. H., Cho, S. J., & Kim, J. H. (2021). Altered glymphatic system in idiopathic normal pressure hydrocephalus. Parkinsonism & Related Disorders, 82, 56–60.
Beaudreau, S. A., Spira, A. P., Stewart, A., Kezirian, E. J., Lui, L. Y., Ensrud, K., Redline, S., Ancoli‐Israel, S., Stone, K. L., & Study of Osteoporotic Fractures. (2012). Validation of the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in older black and white women. Sleep Medicine, 13(1), 36–42.
Eide, P. K., Pripp, A. H., Berge, B., Hrubos‐Strom, H., Ringstad, G., & Valnes, L. M. (2022). Altered glymphatic enhancement of cerebrospinal fluid tracer in individuals with chronic poor sleep quality. Journal of Cerebral Blood Flow and Metabolism, 42(9), 1676–1692.
Frohnhofen, H., Popp, R., Stieglitz, S., Netzer, N., & Danker‐Hopfe, H. (2020). Assessment of sleep and sleep disorders in geriatric patients. Zeitschrift für Gerontologie Und Geriatrie, 53(2), 100–104.
Giordan, E., Palandri, G., Lanzino, G., Murad, M. H., & Elder, B. D. (2018). Outcomes and complications of different surgical treatments for idiopathic normal pressure hydrocephalus: A systematic review and meta‐analysis. Journal of Neurosurgery, 131(4), 1–13.
Hakim, S., & Adams, R. D. (1965). The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics. Journal of the Neurological Sciences, 2(4), 307–327.
Iliff, J. J., Wang, M., Zeppenfeld, D. M., Venkataraman, A., Plog, B. A., Liao, Y., Deane, R., & Nedergaard, M. (2013). Cerebral arterial pulsation drives paravascular CSF‐interstitial fluid exchange in the murine brain. The Journal of Neuroscience, 33(46), 18190–18199.
Israelsson, H., Eklund, A., & Malm, J. (2020). Cerebrospinal fluid shunting improves long‐term quality of life in idiopathic normal pressure hydrocephalus. Neurosurgery, 86(4), 574–582.
Johns, M. W. (1991). A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep, 14(6), 540–545.
Johns, M. W. (2000). Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the epworth sleepiness scale: Failure of the MSLT as a gold standard. Journal of Sleep Research, 9(1), 5–11.
Kikuta, J., Kamagata, K., Taoka, T., Takabayashi, K., Uchida, W., Saito, Y., Andica, C., Wada, A., Kawamura, K., Akiba, C., Nakajima, M., Miyajima, M., Naganawa, S., & Aoki, S. (2022). Water diffusivity changes along the perivascular space after lumboperitoneal shunt surgery in idiopathic normal pressure hydrocephalus. Frontiers in Neurology, 13, 843883.
Kito, Y., Kazui, H., Kubo, Y., Yoshida, T., Takaya, M., Wada, T., Nomura, K., Hashimoto, M., Ohkawa, S., Miyake, H., Ishikawa, M., & Takeda, M. (2009). Neuropsychiatric symptoms in patients with idiopathic normal pressure hydrocephalus. Behavioural Neurology, 21(3), 165–174.
Kockum, K., Virhammar, J., Riklund, K., Soderstrom, L., Larsson, E. M., & Laurell, K. (2020). Diagnostic accuracy of the iNPH Radscale in idiopathic normal pressure hydrocephalus. PLoS One, 15(4), e0232275.
Kristensen, B., Malm, J., & Rabben, T. (1998). Effects of transient and persistent cerebrospinal fluid drainage on sleep disordered breathing in patients with idiopathic adult hydrocephalus syndrome. Journal of Neurology, Neurosurgery, and Psychiatry, 65(4), 497–501.
Liden, S., Farahmand, D., & Laurell, K. (2022). Ventricular volume in relation to lumbar CSF levels of amyloid‐beta 1‐42, tau and phosphorylated tau in inph, is there a dilution effect? Fluids Barriers CNS, 19(1), 59.
Liden, S., Farahmand, D., & Laurell, K. (2023). Volumetric effect of shunt adjustments in Normal pressure hydrocephalus: A randomized, double‐blind trial. Journal of Neurosurgery, 17, 1–8.
Peterson, K. A., Housden, C. R., Killikelly, C., DeVito, E. E., Keong, N. C., Savulich, G., Czosnyka, Z., Pickard, J. D., & Sahakian, B. J. (2016). Apathy, ventriculomegaly and neurocognitive improvement following shunt surgery in Normal pressure hydrocephalus. British Journal of Neurosurgery, 30(1), 38–42.
Riedel, C. S., Milan, J. B., Juhler, M., & Jennum, P. (2022). Sleep‐disordered breathing is frequently associated with idiopathic Normal pressure hydrocephalus but not other types of hydrocephalus. Sleep, 45(3), zsab265.
Ringstad, G. (2024). Glymphatic imaging: A critical look at the DTI‐ALPS index. Neuroradiology, 66(2), 157–160.
Ringstad, G., Vatnehol, S. A. S., & Eide, P. K. (2017). Glymphatic MRI in idiopathic normal pressure hydrocephalus. Brain, 140(10), 2691–2705.
Roman, G. C., Verma, A. K., Zhang, Y. J., & Fung, S. H. (2018). Idiopathic normal‐pressure hydrocephalus and obstructive sleep apnea are frequently associated: A prospective cohort study. Journal of the Neurological Sciences, 15(395), 164–168.
Spira, A. P., Beaudreau, S. A., Stone, K. L., Kezirian, E. J., Lui, L. Y., Redline, S., Ancoli‐Israel, S., Ensrud, K., Stewart, A., & Osteoporotic Fractures in Men Study. (2012). Reliability and validity of the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in older men. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 67(4), 433–439.
Sundstrom, N., Malm, J., Laurell, K., Lundin, F., Kahlon, B., Cesarini, K. G., Leijon, G., & Wikkelsö, C. (2017). Incidence and outcome of surgery for adult hydrocephalus patients in Sweden. British Journal of Neurosurgery, 31(1), 21–27.
Tullberg, M., Hellstrom, P., Piechnik, S. K., Starmark, J. E., & Wikkelso, C. (2004). Impaired wakefulness is associated with reduced anterior cingulate Cbf in patients with normal pressure hydrocephalus. Acta Neurologica Scandinavica, 110(5), 322–330.
Virhammar, J., Laurell, K., Cesarini, K. G., & Larsson, E. M. (2014). Preoperative prognostic value of MRI findings in 108 patients with idiopathic Normal pressure hydrocephalus. American Journal of Neuroradiology, 35(12), 2311–2318.
Wartolowska, K. A., Feakins, B. G., Collins, G. S., Cook, J., Judge, A., Rombach, I., Dean, B. J. F., Smith, J. A., & Carr, A. J. (2016). The magnitude and temporal changes of response in the placebo arm of surgical randomized controlled trials: A systematic review and meta‐analysis. Trials, 17(1), 589.
Wobbrock, J. O., Findlater, L., Gergle, D., & Higgins, J. J. (2011). The aligned rank transform for nonparametric factorial analyses using only anova procedures. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM (Association for Computing Machinery).