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Association between periodic limb movements during sleep and neuroimaging features of cerebral small vessel disease: A preliminary cross-sectional study.
Ouyang, Fubing; Wang, Meng; Liao, Mengshi; Lan, Linfan; Liu, Xiaolu; Li, Hao; Mo, Rong; Shi, Lin; Fan, Yuhua.
Afiliación
  • Ouyang F; Department of Neurology, National Key Clinical Department and Key Discipline of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, Sun Yat-sen University, Guangzhou, China.
  • Wang M; Department of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
  • Liao M; Department of Neurology, National Key Clinical Department and Key Discipline of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, Sun Yat-sen University, Guangzhou, China.
  • Lan L; Department of Neurology, National Key Clinical Department and Key Discipline of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, Sun Yat-sen University, Guangzhou, China.
  • Liu X; Department of Neurology, National Key Clinical Department and Key Discipline of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, Sun Yat-sen University, Guangzhou, China.
  • Li H; Department of Neurology, National Key Clinical Department and Key Discipline of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, Sun Yat-sen University, Guangzhou, China.
  • Mo R; Department of Neurology, National Key Clinical Department and Key Discipline of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, Sun Yat-sen University, Guangzhou, China.
  • Shi L; Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.
  • Fan Y; Department of Neurology, National Key Clinical Department and Key Discipline of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological Diseases, Sun Yat-sen University, Guangzhou, China.
J Sleep Res ; 31(5): e13573, 2022 10.
Article en En | MEDLINE | ID: mdl-35224805
Evidence on the relationship between periodic limb movements during sleep (PLMS) and cerebral small vessel disease is lacking. This study aimed to assess the association between the PLMS index and the neuroimaging features of cerebral small vessel disease on magnetic resonance imaging. Consecutive patients diagnosed with cerebral small vessel disease were enrolled. Data on the clinical characteristics, polysomnography, and brain magnetic resonance imaging were collected. The Accubrain software was used to calculate automatically the volume of white matter hyperintensities, the number of lacunar infarctions, and cerebral microbleeds. The severity of white matter hyperintensities, enlarged basal ganglia perivascular spaces, and the total cerebral small vessel disease scores were also rated visually using semiquantitative scales. The severity of PLMS was measured using the PLMS index, and the patients were divided into two groups using an established cut-off value of ≥15 per hour. Logistic regression was used to examine the association between PLMS and the neuroimaging features of cerebral small vessel disease. In total, 37 patients were included in the final analyses. The mean age was 66.49 ± 11.31 years, and 73.0% were males. The mean PLMS index was 19.30 ± 10.18. In univariate analyses, it was found that patients with cerebral small vessel disease with a PLMS index ≥15 had increased enlarged basal ganglia perivascular spaces (OR 6.136, 95%CI 1.101-34.214) and increased total cerebral small vessel disease scores (OR 6.0, 95%CI 1.253-28.742). Only the association between the PLMS index and the total cerebral small vessel disease burden score remained statistically significant after adjusting for age, sex, and the presence of moderate to severe obstructive sleep apnea syndrome. In conclusion, an elevated PLMS index is likely to be associated with a greater cerebral small vessel disease burden. PLMS might be a novel potential marker of cerebral small vessel disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de los Pequeños Vasos Cerebrales Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Sleep Res Asunto de la revista: PSICOFISIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de los Pequeños Vasos Cerebrales Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Sleep Res Asunto de la revista: PSICOFISIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido