Skip to main content
Erschienen in: Current Neurology and Neuroscience Reports 2/2011

01.04.2011

Asymptomatic Sleep Abnormalities Are a Common Early Feature in Patients with Huntington’s Disease

verfasst von: Anna O. G. Goodman, Lorraine Rogers, Samantha Pilsworth, Catherine J. McAllister, John M. Shneerson, A. Jennifer Morton, Roger A. Barker

Erschienen in: Current Neurology and Neuroscience Reports | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Abstract

Huntington’s disease (HD) is a fatal neurodegenerative disease characterized by motor, cognitive, and psychiatric disturbance. In this article, we used polysomnography, actigraphy and a variety of validated questionnaires to ascertain the extent to which sleep changes are identifiable and measurable in mild stage HD, and importantly, to see whether patients are negatively impacted by the changes in their sleep. We found significant differences in sleep architecture and sleep efficiency in patients compared with controls using polysomnography. However, patient scores on the Functional Outcomes of Sleep Questionnaire, Medical Outcomes of Sleep Scale, and Epworth Sleepiness Scale were not significantly different to controls. These results suggest that although marked changes in sleep architecture are present in early HD and can be detected using polysomnography, patients do not necessarily recognize or report these abnormalities.
Literatur
1.
Zurück zum Zitat The Huntington’s Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosomes. Cell 1993; 72:971–983.CrossRef The Huntington’s Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosomes. Cell 1993; 72:971–983.CrossRef
2.
Zurück zum Zitat Foroud T, Gray J, Ivashina J, et al. Differences in duration of Huntington’s disease based on age at onset. J Neurol Neurosurg Psychiatry 1999;66:52–6.PubMedCrossRef Foroud T, Gray J, Ivashina J, et al. Differences in duration of Huntington’s disease based on age at onset. J Neurol Neurosurg Psychiatry 1999;66:52–6.PubMedCrossRef
3.
Zurück zum Zitat Bamford KA, Caine ED, Kido DK, et al. A prospective evaluation of cognitive decline in early Huntington’s disease: functional and radiographic correlates. Neurology 1995;45:1867–73.PubMed Bamford KA, Caine ED, Kido DK, et al. A prospective evaluation of cognitive decline in early Huntington’s disease: functional and radiographic correlates. Neurology 1995;45:1867–73.PubMed
4.
Zurück zum Zitat Shiwach R. Psychopathology in Huntington’s disease patients. Acta Psychiatr Scand 1994;90:241–6.PubMedCrossRef Shiwach R. Psychopathology in Huntington’s disease patients. Acta Psychiatr Scand 1994;90:241–6.PubMedCrossRef
5.
6.
Zurück zum Zitat Hansotia P, Wall R, Berendes J. Sleep disturbances and severity of Huntington’s disease. Neurology 1985;35:1672–4.PubMed Hansotia P, Wall R, Berendes J. Sleep disturbances and severity of Huntington’s disease. Neurology 1985;35:1672–4.PubMed
7.
Zurück zum Zitat Petit D, Gagnon JF, Fantini ML, et al. Sleep and quantitative EEG in neurodegenerative disorders. J Psychosom Res 2004;56:487–96.PubMedCrossRef Petit D, Gagnon JF, Fantini ML, et al. Sleep and quantitative EEG in neurodegenerative disorders. J Psychosom Res 2004;56:487–96.PubMedCrossRef
8.
Zurück zum Zitat • Arnulf I, Nielsen J, Lohmann E, et al. Rapid eye movement sleep disturbances in Huntington disease. Arch Neurol 2008;65:482–8. The majority of studies on sleep in HD disease were published over 10 years ago. This is the most recent study published to date and provides evidence to suggest that not only is REM sleep affected in the disease but that some of these changes may actually precede chorea.PubMedCrossRef • Arnulf I, Nielsen J, Lohmann E, et al. Rapid eye movement sleep disturbances in Huntington disease. Arch Neurol 2008;65:482–8. The majority of studies on sleep in HD disease were published over 10 years ago. This is the most recent study published to date and provides evidence to suggest that not only is REM sleep affected in the disease but that some of these changes may actually precede chorea.PubMedCrossRef
9.
Zurück zum Zitat Iakhno NN. Disorders of nocturnal sleep in Huntington chorea. Zh Nevropatol Psikhiatr Im S S Korsakova 1985;85:340–6.PubMed Iakhno NN. Disorders of nocturnal sleep in Huntington chorea. Zh Nevropatol Psikhiatr Im S S Korsakova 1985;85:340–6.PubMed
10.
Zurück zum Zitat Silvestri R, Raffaele M, De Domenico P, et al. Sleep features in Tourette’s syndrome, neuroacanthocytosis and Huntington’s chorea. Neurophysiol Clin 1995;25:66–77.PubMedCrossRef Silvestri R, Raffaele M, De Domenico P, et al. Sleep features in Tourette’s syndrome, neuroacanthocytosis and Huntington’s chorea. Neurophysiol Clin 1995;25:66–77.PubMedCrossRef
11.
Zurück zum Zitat Mena-Segovia J, Cintra L, Prospero-Garcia O, et al. Changes in sleep-waking cycle after striatal excitotoxic lesions. Behav Brain Res 2002;136:475–81.PubMedCrossRef Mena-Segovia J, Cintra L, Prospero-Garcia O, et al. Changes in sleep-waking cycle after striatal excitotoxic lesions. Behav Brain Res 2002;136:475–81.PubMedCrossRef
12.
Zurück zum Zitat Wiegand M, Moller AA, Lauer CJ, et al. Nocturnal sleep in Huntington’s disease. J Neurol 1991;238:203–8.PubMedCrossRef Wiegand M, Moller AA, Lauer CJ, et al. Nocturnal sleep in Huntington’s disease. J Neurol 1991;238:203–8.PubMedCrossRef
13.
Zurück zum Zitat • Goodman AO, Barker RA. How vital is sleep in Huntington’s disease? J Neurol 2010. This paper provides a thorough review of the literature published to date on sleep in HD. • Goodman AO, Barker RA. How vital is sleep in Huntington’s disease? J Neurol 2010. This paper provides a thorough review of the literature published to date on sleep in HD.
14.
Zurück zum Zitat Van Someren EJ, Swaab DF, Colenda CC, et al. Bright light therapy: improved sensitivity to its effects on rest-activity rhythms in Alzheimer patients by application of nonparametric methods. Chronobiol Int 1999;16:505–18.PubMedCrossRef Van Someren EJ, Swaab DF, Colenda CC, et al. Bright light therapy: improved sensitivity to its effects on rest-activity rhythms in Alzheimer patients by application of nonparametric methods. Chronobiol Int 1999;16:505–18.PubMedCrossRef
15.
Zurück zum Zitat Rechtschaffen A, Kales A. A manual of standardized terminology, technique and scoring system for sleep stages of human sleep. Los Angeles: Brain Information Service, 1968. Rechtschaffen A, Kales A. A manual of standardized terminology, technique and scoring system for sleep stages of human sleep. Los Angeles: Brain Information Service, 1968.
16.
Zurück zum Zitat Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667–89. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667–89.
17.
Zurück zum Zitat Zucconi M, Ferri R, Allen R, et al. The official World Association of Sleep Medicine (WASM) standards for recording and scoring periodic leg movements in sleep (PLMS) and wakefulness (PLMW) developed in collaboration with a task force from the International Restless Legs Syndrome Study Group (IRLSSG). Sleep Med 2006;7:175–83.PubMedCrossRef Zucconi M, Ferri R, Allen R, et al. The official World Association of Sleep Medicine (WASM) standards for recording and scoring periodic leg movements in sleep (PLMS) and wakefulness (PLMW) developed in collaboration with a task force from the International Restless Legs Syndrome Study Group (IRLSSG). Sleep Med 2006;7:175–83.PubMedCrossRef
18.
Zurück zum Zitat Littner MR, Kushida C, Wise M et al. Practice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test. Sleep 2005;28:113–121.PubMed Littner MR, Kushida C, Wise M et al. Practice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test. Sleep 2005;28:113–121.PubMed
19.
Zurück zum Zitat Carskadon MA, Dement WC, Mitler MM et al. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep 1986;9,519–524.PubMed Carskadon MA, Dement WC, Mitler MM et al. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep 1986;9,519–524.PubMed
20.
Zurück zum Zitat Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991;14:540–5.PubMed Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991;14:540–5.PubMed
21.
Zurück zum Zitat Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 1992;15:376–81.PubMed Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 1992;15:376–81.PubMed
22.
Zurück zum Zitat Ellenbogen JM. Cognitive benefits of sleep and their loss due to sleep deprivation. Neurology 2005;64:E25–E27.PubMed Ellenbogen JM. Cognitive benefits of sleep and their loss due to sleep deprivation. Neurology 2005;64:E25–E27.PubMed
23.
24.
Zurück zum Zitat Laureys S, Peigneux P, Perrin F, et al. Sleep and motor skill learning. Neuron 2002;35:5–7.PubMedCrossRef Laureys S, Peigneux P, Perrin F, et al. Sleep and motor skill learning. Neuron 2002;35:5–7.PubMedCrossRef
25.
Zurück zum Zitat Schernhammer ES, Laden F, Speizer FE, et al. Night-shift work and risk of colorectal cancer in the nurses’ health study. J Natl Cancer Inst 2003;95:825–8.PubMedCrossRef Schernhammer ES, Laden F, Speizer FE, et al. Night-shift work and risk of colorectal cancer in the nurses’ health study. J Natl Cancer Inst 2003;95:825–8.PubMedCrossRef
26.
Zurück zum Zitat Sephton S, Spiegel D. Circadian disruption in cancer: a neuroendocrine-immune pathway from stress to disease? Brain Behav Immun 2003;17:321–8.PubMedCrossRef Sephton S, Spiegel D. Circadian disruption in cancer: a neuroendocrine-immune pathway from stress to disease? Brain Behav Immun 2003;17:321–8.PubMedCrossRef
27.
Zurück zum Zitat Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet 1999;354:1435–9.PubMedCrossRef Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet 1999;354:1435–9.PubMedCrossRef
28.
Zurück zum Zitat Spiegel K, Tasali E, Penev P, et al. Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med 2004;141:846–50.PubMed Spiegel K, Tasali E, Penev P, et al. Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med 2004;141:846–50.PubMed
29.
Zurück zum Zitat Taheri S, Lin L, Austin D, et al. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 2004;1:e62.PubMedCrossRef Taheri S, Lin L, Austin D, et al. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 2004;1:e62.PubMedCrossRef
30.
Zurück zum Zitat Pallier PN, Maywood ES, Zheng Z, et al. Pharmacological imposition of sleep slows cognitive decline and reverses dysregulation of circadian gene expression in a transgenic mouse model of Huntington’s disease. J Neurosci 2007;27:7869–78.PubMedCrossRef Pallier PN, Maywood ES, Zheng Z, et al. Pharmacological imposition of sleep slows cognitive decline and reverses dysregulation of circadian gene expression in a transgenic mouse model of Huntington’s disease. J Neurosci 2007;27:7869–78.PubMedCrossRef
31.
Zurück zum Zitat • Pallier PN, Morton AJ. Management of sleep/wake cycles improves cognitive function in a transgenic mouse model of Huntington’s disease. Brain Res 2009;1279:90–8. This paper illustrates the profound beneficial effects associated with improving sleep and circadian rhythms in the R6/2 transgenic mouse model of HD. The implication associated with this study is that treating patients with the disease may well result in a significant improvement in cognitive performance and other symptoms.PubMedCrossRef • Pallier PN, Morton AJ. Management of sleep/wake cycles improves cognitive function in a transgenic mouse model of Huntington’s disease. Brain Res 2009;1279:90–8. This paper illustrates the profound beneficial effects associated with improving sleep and circadian rhythms in the R6/2 transgenic mouse model of HD. The implication associated with this study is that treating patients with the disease may well result in a significant improvement in cognitive performance and other symptoms.PubMedCrossRef
Metadaten
Titel
Asymptomatic Sleep Abnormalities Are a Common Early Feature in Patients with Huntington’s Disease
verfasst von
Anna O. G. Goodman
Lorraine Rogers
Samantha Pilsworth
Catherine J. McAllister
John M. Shneerson
A. Jennifer Morton
Roger A. Barker
Publikationsdatum
01.04.2011
Verlag
Current Science Inc.
Erschienen in
Current Neurology and Neuroscience Reports / Ausgabe 2/2011
Print ISSN: 1528-4042
Elektronische ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-010-0163-x

Weitere Artikel der Ausgabe 2/2011

Current Neurology and Neuroscience Reports 2/2011 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Schützt Olivenöl vor dem Tod durch Demenz?

10.05.2024 Morbus Alzheimer Nachrichten

Konsumieren Menschen täglich 7 Gramm Olivenöl, ist ihr Risiko, an einer Demenz zu sterben, um mehr als ein Vierten reduziert – und dies weitgehend unabhängig von ihrer sonstigen Ernährung. Dafür sprechen Auswertungen zweier großer US-Studien.

Bluttest erkennt Parkinson schon zehn Jahre vor der Diagnose

10.05.2024 Parkinson-Krankheit Nachrichten

Ein Bluttest kann abnorm aggregiertes Alpha-Synuclein bei einigen Menschen schon zehn Jahre vor Beginn der motorischen Parkinsonsymptome nachweisen. Mit einem solchen Test lassen sich möglicherweise Prodromalstadien erfassen und die Betroffenen früher behandeln.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.