questionsmedicales.fr
Troubles mentaux
Troubles de la veille et du sommeil
Dyssomnies
Dyssomnies : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Troubles du sommeil
Polysomnographie
Polysomnographie
Journaux de sommeil
Critères diagnostiques
Qualité du sommeil
Troubles psychiatriques
Anxiété
Médecin généraliste
Spécialiste du sommeil
Symptômes
5
Insomnie
Sommeil non réparateur
Changements d'humeur
Anxiété
Fatigue diurne
Somnolence
Prévention
5
Routine de sommeil
Environnement de sommeil
Traitements
5
Thérapie cognitivo-comportementale
Médicaments
Thérapie cognitivo-comportementale
Qualité du sommeil
Benzodiazépines
Non-benzodiazépines
Hygiène du sommeil
Qualité du sommeil
Traitement personnalisé
Causes sous-jacentes
Complications
5
Santé mentale
Maladies cardiovasculaires
Performance au travail
Accidents
Obésité
Hormones de la faim
Dépression
Troubles du sommeil
Maladies chroniques
Hypertension
Facteurs de risque
5
Stress
Troubles psychiatriques
Âge avancé
Changements physiologiques
Antidépresseurs
Médicaments
Mode de vie sédentaire
Hygiène de sommeil
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"@type": "Question",
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"name": "Les dyssomnies affectent-elles l'humeur ?",
"position": 9,
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"text": "Oui, elles peuvent entraîner des changements d'humeur, de l'irritabilité et de l'anxiété."
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"@type": "Question",
"name": "L'exercice aide-t-il à prévenir les troubles du sommeil ?",
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"text": "Des siestes courtes peuvent être bénéfiques, mais des siestes longues peuvent perturber le sommeil nocturne."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour les dyssomnies ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la thérapie cognitivo-comportementale, les médicaments et l'hygiène du sommeil."
}
},
{
"@type": "Question",
"name": "Comment la thérapie cognitivo-comportementale aide-t-elle ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle aide à modifier les pensées et comportements liés au sommeil, améliorant ainsi la qualité du sommeil."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont utilisés pour traiter l'insomnie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les benzodiazépines et les non-benzodiazépines sont souvent prescrites pour traiter l'insomnie."
}
},
{
"@type": "Question",
"name": "L'hygiène du sommeil est-elle efficace ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des habitudes de sommeil saines peuvent améliorer la qualité du sommeil et réduire les symptômes."
}
},
{
"@type": "Question",
"name": "Les traitements sont-ils personnalisés ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les traitements sont souvent adaptés en fonction des besoins individuels et des causes sous-jacentes."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications des dyssomnies ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des problèmes de santé mentale, des maladies cardiovasculaires et des troubles cognitifs."
}
},
{
"@type": "Question",
"name": "Les dyssomnies peuvent-elles affecter la performance au travail ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent entraîner une baisse de concentration, de productivité et des accidents au travail."
}
},
{
"@type": "Question",
"name": "Y a-t-il un lien entre dyssomnies et obésité ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les troubles du sommeil peuvent contribuer à l'obésité en perturbant les hormones de la faim."
}
},
{
"@type": "Question",
"name": "Les dyssomnies augmentent-elles le risque de dépression ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il existe un lien fort entre les troubles du sommeil et le développement de la dépression."
}
},
{
"@type": "Question",
"name": "Comment les dyssomnies affectent-elles la santé physique ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles peuvent augmenter le risque de maladies chroniques, d'hypertension et de diabète."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque des dyssomnies ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent le stress, les troubles psychiatriques, l'âge avancé et les habitudes de sommeil irrégulières."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il les dyssomnies ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées sont plus susceptibles de souffrir de dyssomnies en raison de changements physiologiques."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils causer des dyssomnies ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains médicaments, comme les antidépresseurs, peuvent perturber le sommeil."
}
},
{
"@type": "Question",
"name": "Le mode de vie influence-t-il le sommeil ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sédentaire et une mauvaise hygiène de sommeil augmentent le risque de dyssomnies."
}
},
{
"@type": "Question",
"name": "Les troubles de santé augmentent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des conditions comme l'apnée du sommeil et l'anxiété augmentent le risque de dyssomnies."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
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Cochlear nerve deficiency in cochlear aplasia is a contraindication for cochlear implantation (CI) anticipating poor auditory response. Few authors have reported auditory outcomes even without nerves ...
Detection of cochlear nerve deficiency (CND) is usually straightforward using magnetic resonance imaging (MRI). In patients in whom MRI cannot be performed or imaging provides equivocal findings, comp...
This retrospective study included 70 children with sensorineural hearing loss (32 with CND and 38 control patients). The height, width, and cross-sectional area of the IAC and diameter of the CNCs wer...
The mean diameter of the CNCs was significantly smaller in children with CND than in the control group (1.2 mm versus 2.4 mm, p < .001). The optimal threshold for CNC for separation of the two groups ...
A CNC diameter of less than 1.9 mm is a reliable predictor of CND in children with sensorineural hearing loss....
· A small cochlear nerve canal predicts cochlear nerve deficiency (CND). · The size of the internal auditory canal cannot predict CND. · Whenever MRI is impossible or ambigous, CT can rule out CND....
· Sorge M, Sorge I, Pirlich M et al. Diameter of the Cochlear Nerve Canal predicts Cochlear Nerve Deficiency in Children with Sensorineural Hearing Loss. Fortschr Röntgenstr 2022; 194: 1132 - 1139....
Noonan syndrome (NS) is a congenital disorder characterized by a wide heterogeneity in clinical and genetic features. Hearing loss can frequently occur in NS, although not always mentioned in its diag...
We present the case of a child-girl affected by NS. Newborn hearing screening and audiological evaluations reveled an asymmetric sensorineural hearing loss (SNHL), profound at left ear and severe at r...
Hearing loss is a frequent finding in patients with NS; however, its nature and severity are very heterogenous. In consideration of the possible progression of SNHL, audiological follow-up in NS patie...
Due to the specificity of cochlear implantation (CI) programming parameters and outcomes in cochlear nerve deficiency (CND) patients, this study aimed to investigate the correlation between programmin...
Ninety (95 ears) CND patients (normal cochlea, 39; malformed cochlea, 56) and seventy-nine (81 ears) normal cochlea patients who underwent CI surgery with either Med-El or Cochlear devices were includ...
In the CND group, a reduced stimulation rate, higher pulse width, and triphasic pulse were needed in some cases. The stimulus levels of the CND group were significantly higher than that of the normal ...
The CI programming parameters of some CND patients need to be adjusted, and a slower stimulation rate and higher pulse width are required sometimes. CND patients need a higher stimulus level than norm...
Background and Objectives: Many otologists face a dilemma in the decision-making process of surgical management of patients with cochlear nerve (CN) aplasia. The goal of this study is to provide fresh...
The objectives of this study were to assess auditory perception and speech intelligibility outcomes in children with cochlear nerve (CN) hypoplasia who received cochlear implants (CIs) using Categorie...
In total, 40 children who received CI and who were aged between 3 and 18 years were included in this study. The study group included 20 children with CN hypoplasia at least one ear, while the control ...
Significant differences were found between the study and control groups' CAP II and SIR scores (p < 0.001). It was found that CAP II scores were positively correlated with SIR scores in the study (r =...
Even for children with severe inner ear malformation and CN hypoplasia, CI is an effective treatment modality for auditory perception and speech production. However, it should be noted that CN hypopla...
Monitoring the cochlear nerve during vestibular schwannoma (VS) microsurgery depends on the hearing status and surgical approach. Traditional hearing preservation VS microsurgery relies on acousticall...
Electrically evoked auditory brainstem response audiometry has emerged as a suitable option to intraoperatively assess cochlear nerve function during vestibular schwannoma resection. This study aimed ...
Prospective study....
Tertiary referral center....
Patients with unilateral sporadic vestibular schwannoma underwent translabyrinthine tumor resection. Intraoperatively, electrically evoked auditory brainstem response audiometry was performed before a...
Overall, 26 patients with vestibular schwannoma underwent translabyrinthine schwannoma resection. Out of these patients, 15 had positive cochlear nerve responses after tumor removal and concurrently r...
Patients with vestibular schwannoma can benefit substantially from cochlear implantation. Intraoperative assessment of cochlear nerve function using electrically evoked auditory brainstem response aud...
There are currently no guidelines for simultaneous vestibular schwannoma surgery and cochlear implantation. This paper therefore provides our experience and our results regarding predictive parameters...
Morphological appearance of the cochlear nerve after tumour resection was used as the main criterion for implantation in the case series. Patients were then divided into responders and non-responders ...
Nine of the 16 patients showed a response to cochlear implantation. Pre-surgery serviceable hearing was significantly more common in the responder group, while no difference was found in the two group...
This study highlights how the morphological appearance of the cochlear nerve can be useful to predict the hearing outcome and indicates that satisfactory hearing results are closely related to pre-sur...
Cochlear nerve deficiency (CND) is often combined with modiolar deficiency-type inner ear malformations, which cause variable cochlear implantation (CI) outcomes. We aimed to assess the postoperative ...
Sixty-seven CND patients with modiolar deficiency-type malformations who underwent CI surgery were retrospectively reviewed. Modiolar deficiency-type malformations included common cavity (CC), cochlea...
All patients demonstrated improvements in auditory ability and speech intelligibility after CI. There were no significant differences in CI outcomes at any time point according to the malformation typ...
CND patients with modiolar deficiency-type malformations showed continuous improvement in auditory and speech abilities after CI. Compared with malformations, the number of nerve bundles should be giv...
