www.mamboteam.com
Hypersomnie idiopathique, hypersomnies centrales primaires et secondaires; somnolence, fatigue et sommeil  
Accueil arrow Hypersomnie idiopathique arrow Recherches passées arrow 1981b Roth Bendrich
24-02-2017
 
 
Menu principal
Accueil
Le sommeil
Hypersomnie idiopathique
Hypersomnies secondaires
Narcolepsie avec cataplexie
Thèse de Neurosciences
Liens
Plan de Hypersomnies.fr


Image Exemple



1981b Roth Bendrich Convertir en PDF 

Neurological, psychological and polygraphic findings in sleep drunkenness.

  Roth Bendrich, MD, Prague

 

    Cette étude s'intéresse aux capacités de patients hypersomniaques à leur réveil; c'est à dire à l'ivresse de sommeil (Sleep drunkenness). Ces mesures sont réalisés par des tests et échelles.

    Les patients avaient majoritairement des signes cérébelleux et vestibulaires accompagnés d'une grande diminution des réflexes proprioceptifs.

    L'ivresse de sommeil était objectivée polysomnographiquement par la présence de signes de micro-sommeils.

    En conclusion les auteurs ajoutent qu'il est important de bien différencier l'ivresse de sommeil avec les comportements automatiques qui sont fréquemment observés dans cette pathologie.

 

Roth B, Nevsímalová S, Ságová V, Paroubková D, Horáková A.
Neurological, psychological and polygraphic findings in sleep drunkenness.
Schweiz Arch Neurol Neurochir Psychiatr. 1981;129(2):209-22.

 

    Résumé en anglais

    Eight patients suffering from idiopathic hypersomnia with sleep drunkenness were given neurological, psychological and polygraphic investigations, and that after 4, 8 and 12 hours of nocturnal sleep. Also examined and tested were 8 controls - after 4, 8 and 0 hours of sleep during the preceding night. The patients and the controls were awakened and tested in the afternoon hours 30-45 minutes after they had fallen asleep. Under those circumstances the state of sleep drunkenness was observed in the patients in 19 instances, but only once in the controls. While experiencing sleep drunkenness the subjects were found to have prominent cerebellar signs, proprioceptive hypo- or even areflexia, signs of vestibular and, rarely, pyramidal tract involvement. Psychological tests scores and scores for the fine and gross motricity tests were substantially worse in sleep drunkenness than in wakefulness. Sleep drunkenness manifested itself in the polygraphic recordings by signs of microsleep. Pathological predisposition to the development of sleep drunkenness in hypersomniacs was found to be the most significant factor responsible for the occurrence of this state. Attention is drawn to the analogy between states of sleep drunkenness and automatic behaviour in narcoleptics and hypersomniacs as a common feature of both states. The authors believe that sleep drunkenness in idiopathic hypersomnia develops as a result of chronic relative sleep deprivation in those patients whose sleep requirements are greater than conditions of normal life can permit.

Dernière mise à jour : ( 06-04-2010 )
 
< Précédent   Suivant >
 
Top! Top!