A practical approach to the diagnosis and management of sleep disorders in patients with multiple sclerosis

被引：15

作者：

Braley, Tiffany J. ^{[1
,2
]}

Chervin, Ronald D. ^{[2
,3
,4
]}

机构：

[1] Univ Michigan, Dept Neurol, Multiple Sclerosis Ctr, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Sleep Disorders Ctr, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Sleep Med, Ann Arbor, MI 48109 USA

[4] Univ Michigan, Dept Neurol, Neurol, Ann Arbor, MI 48109 USA

来源：

THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS | 2015年 / 8卷 / 06期

关键词：

multiple sclerosis; MS; insomnia; restless legs syndrome; RLS; sleep disordered breathing; obstructive sleep apnea; OSA; fatigue; RESTLESS LEGS SYNDROME; COGNITIVE-BEHAVIORAL THERAPY; PERIODIC LIMB MOVEMENTS; CHRONIC PRIMARY INSOMNIA; QUALITY-OF-LIFE; PRACTICE PARAMETERS; DAYTIME SLEEPINESS; BASAL GANGLIA; BRAIN IRON; FATIGUE;

D O I：

10.1177/1756285615605698

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Patients with multiple sclerosis (MS) are at increased risk for comorbid sleep disturbances, which can profoundly contribute to poor functional status and fatigue. Insomnia, sleep-disordered breathing, and restless legs syndrome are among the most common sleep disorders experienced by patients with MS. Despite their impact, these underlying sleep disorders may escape routine clinical evaluations in persons with MS, thereby leading to missed opportunities to optimize functional status and quality of life in patients with MS. A practical, systematic approach to the evaluation and treatment of sleep disorders in MS, in the context of MS-specific variables that may influence risk for these conditions or response to therapy, is recommended to facilitate early diagnosis and successful treatment. This review summarizes the most common sleep disorders experienced by persons with MS, and offers a practical approach to diagnosis and management of these conditions.

引用

页码：294 / 310

页数：17

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