L-DOPA-induced excessive daytime sleepiness in PD -: A placebo-controlled case with MSLT assessment

被引:25
作者
Garcia-Borreguero, D [1 ]
Schwarz, C [1 ]
Larrosa, O [1 ]
de la Llave, Y [1 ]
de Yébenes, JG [1 ]
机构
[1] Univ Autonoma Madrid, Fdn Jimenez Diaz, Dept Neurol, Sleep Disorders Unit, Madrid, Spain
关键词
D O I
10.1212/WNL.61.7.1008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 74-year-old patient with idiopathic Parkinson's disease was evaluated for unintended sleep episodes that occurred after long-term treatment with 400 mg/day of L-dopa. Overnight sleep studies and multiple sleep latency testing were carried out under double-blind administration of either L-dopa or placebo. Mean sleep latency with L-dopa was 7 minutes, in contrast to a normal value of 19 minutes, 25 seconds with placebo. The authors' results suggest that L-dopa may cause daytime somnolence in some patients with Parkinson's disease.
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收藏
页码:1008 / 1010
页数:3
相关论文
共 11 条
[1]   Levodopa monotherapy can induce "sleep attacks" in Parkinson's disease patients [J].
Ferreira, JJ ;
Thalamas, C ;
Montastruc, JL ;
Castro-Caldas, A ;
Rascol, O .
JOURNAL OF NEUROLOGY, 2001, 248 (05) :426-427
[2]  
Frucht SJ, 2000, MOVEMENT DISORD, V15, P601, DOI 10.1002/1531-8257(200007)15:4<601::AID-MDS1003>3.0.CO
[3]  
2-Q
[4]  
Hauser RA, 2000, MOVEMENT DISORD, V15, P658, DOI 10.1002/1531-8257(200007)15:4<658::AID-MDS1009>3.0.CO
[5]  
2-N
[6]   Irresistible onset of sleep during acute levodopa challenge in a patient with multiple system atrophy:: Placebo-controlled, polysomnographic case report [J].
Högl, B ;
Seppi, K ;
Brandauer, E ;
Wenning, G ;
Poewe, W .
MOVEMENT DISORDERS, 2001, 16 (06) :1177-1179
[7]   Is excessive daytime sleepiness with periodic leg movements during sleep a specific diagnostic category? [J].
Nicolas, A ;
Lespérance, P ;
Montplaisir, J .
EUROPEAN NEUROLOGY, 1998, 40 (01) :22-26
[8]   A study of excessive daytime sleepiness and its clinical significance in three groups of Parkinson's disease patients taking pramipexole, cabergoline and levodopa mono and combination therapy [J].
Pal, S ;
Bhattacharya, KF ;
Agapito, C ;
Chaudhuri, KR .
JOURNAL OF NEURAL TRANSMISSION, 2001, 108 (01) :71-77
[9]   Daytime sleepiness in Parkinson's disease [J].
Rye, DB ;
Bliwise, DL ;
Dihenia, B ;
Gurecki, P .
JOURNAL OF SLEEP RESEARCH, 2000, 9 (01) :63-69
[10]   REM sleep parasomnias [J].
Schenck, CH ;
Mahowald, MW .
NEUROLOGIC CLINICS, 1996, 14 (04) :697-&