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Specialty: Neurology
Condition: Insomnia

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Total 40 results found since Jan 2013.

Insomnia and health-related quality of life in stroke.
CONCLUSION: The findings show that stroke survivors who experienced insomnia had a reduced overall HRQoL and were impaired in the energy and thinking domains of HRQoL. Early screening for sleep disturbance would be beneficial to prevent later development of post-stroke insomnia. Pharmacological and non-pharmacological interventions are suggested to improve HRQoL in stroke patients with insomnia. PMID: 25908494 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 23, 2015 Category: Neurology Authors: Tang WK, Grace Lau C, Mok V, Ungvari GS, Wong KS Tags: Top Stroke Rehabil Source Type: research

Insomnia Subtypes and the Subsequent Risks of Stroke: Report From a Nationally Representative Cohort Clinical Sciences
Conclusions— Insomnia predisposes individuals to increased risk of stroke and this association is profound among young adults. Our results underscore the clinical importance of identifying and treating insomnia. A novel behavioral intervention targeting insomnia that may prevent stroke should be explored.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Wu, M.-P., Lin, H.-J., Weng, S.-F., Ho, C.-H., Wang, J.-J., Hsu, Y.-W. Tags: Behavioral/psychosocial - stroke Clinical Sciences Source Type: research

Objective and subjective sleep problems and quality of life of rehabilitation in patients with mild to moderate stroke.
Conclusion: Objective sleep parameters (sleep onset latency and sleep efficiency) were found to be associated with quality of life during the early stage of rehabilitation in mild to moderate stroke patients. PMID: 31618116 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 15, 2019 Category: Neurology Authors: Kim WH, Yoo YH, Lim JY, Kang SG, Jung HY, Bae JN, Joa KL Tags: Top Stroke Rehabil Source Type: research

Role of sleep-disordered breathing and sleep-wake disturbances for stroke and stroke recovery
Conclusions: SDB and SWD increase the risk of stroke in the general population and affect short- and long-term stroke recovery and outcome. Current knowledge supports the systematic implementation of clinical procedures for the diagnosis and treatment of poststroke SDB and SWD on stroke units.
Source: Neurology - September 25, 2016 Category: Neurology Authors: Hermann, D. M., Bassetti, C. L. Tags: All Cerebrovascular disease/Stroke, All Sleep Disorders, Other hypersomnias, Insomnia, Sleep apnea VIEWS AND REVIEWS Source Type: research

Probable REM sleep behavior disorder and risk of stroke: A prospective study
Conclusions: Presence of pRBD was associated with a higher risk of developing stroke, including both ischemic and hemorrhagic types. Future studies with clinically confirmed RBD and a longer follow-up would be appropriate to further investigate this association.
Source: Neurology - May 8, 2017 Category: Neurology Authors: Ma, C., Pavlova, M., Liu, Y., Liu, Y., Huangfu, C., Wu, S., Gao, X. Tags: All Cerebrovascular disease/Stroke, All Sleep Disorders, Cohort studies ARTICLE Source Type: research

Post-stroke Recrudescence from Infection: an Immunologic Mechanism?
AbstractPost-stroke recrudescence (PSR) usually occurs in the setting of infection, hypotension, hyponatremia, insomnia or stress, and benzodiazepine use. Animal studies have suggested an infection-related immunologic mechanism for PSR. This retrospective study was designed to assess whether infection-triggered PSR is related to a prior infection during the index stroke. We identified 95 patients admitted to Massachusetts General Hospital from 2000 to 2015 with post-stroke recrudescence who had adequate medical record information concerning the index stroke. The frequency of infections, as well as other triggers such as hy...
Source: Translational Stroke Research - July 25, 2018 Category: Neurology Source Type: research

Melatonin Receptor Agonists for Treating Delirium in Elderly Patients with Acute Stroke
Conclusions: Melatonin receptor agonists may be effective for the treatment of delirium in elderly patients with acute stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2012 Category: Neurology Authors: Tsuyoshi Ohta, Kenichi Murao, Kosuke Miyake, Koichiro Takemoto Tags: Original Articles Source Type: research

Probable rapid eye movement sleep behavior disorder and risk of stroke: a prospective study (P4.302)
Conclusions:Presence of pRBD was associated with a higher risk of developing stroke, including both ischemic and hemorrhagic types. Future studies with clinically confirmed RBD and a longer follow-up would be appropriate to further investigate this association.Study Supported by: The National Institute of Neurological Disorders And Stroke at the National Institutes of Health (NINDS 5R21NS087235-02 to X.G.)Disclosure: Dr. Ma has nothing to disclose. Dr. Pavlova has received research support from Lundbeck and Biomobie Corporation. Dr. Liu has nothing to disclose. Dr. Liu has nothing to disclose. Dr. Huangfu has nothing to di...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Ma, C., Pavlova, M., Liu, Y., Liu, Y., Huangfu, C., Wu, S., Gao, X. Tags: Neuroepidemiology: Cerebrovascular Disease I Source Type: research

Sleep disorders and the risk of stroke.
Authors: McDermott M, Brown DL, Chervin RD Abstract INTRODUCTION: Stroke is a major cause of disability and death in the United States and across the world, and the incidence and prevalence of stroke are expected to rise significantly due to an aging population. Obstructive sleep apnea, an established independent risk factor for stroke, is a highly prevalent disease that is estimated to double the risk of stroke. It remains uncertain whether non-apnea sleep disorders increase the risk of stroke. Areas covered: This paper reviews the literature describing the association between incident stroke and sleep apnea, REM sle...
Source: Expert Review of Neurotherapeutics - June 15, 2018 Category: Neurology Tags: Expert Rev Neurother Source Type: research

Stroke Care during the COVID-19 Pandemic: International Expert Panel Review
This study, prepared by a large international panel of stroke experts, assesses the rapidly growing research and personal experience with COVID-19 stroke and offers recommendations for stroke management in this challenging new setting: modifications needed for prehospital emergency rescue and hyperacute care; inpatient intensive or stroke units; posthospitalization rehabilitation; follow-up including at-risk family and community; and multispecialty departmental developments in the allied professions.Summary: The severe acute respiratory syndrome coronavirus 2 uses spike proteins binding to tissue angiotensin-converting enz...
Source: Cerebrovascular Diseases - March 23, 2021 Category: Neurology Source Type: research

Sleep-Wake Disorders in Stroke-Increased Stroke Risk and Deteriorated Recovery? An Evaluation on the Necessity for Prevention and Treatment.
Abstract PURPOSE OF REVIEW: Sleep-wake disorders (SWD) are common not only in the general population but also in stroke patients, in whom SWD may be pre-existent or appear "de novo" as a consequence of brain damage. Despite increasing evidence of a negative impact of SWD on cardiocerebrovascular risk, cognitive functions, and quality of life, SWD are insufficiently considered in the prevention and management of patients with stroke. This narrative review aims at summarizing the current data on the bidirectional link between SWD and stroke. RECENT FINDINGS: Several studies have demonstrated that sleep-disorder...
Source: Epilepsy Curr - September 7, 2018 Category: Neurology Authors: Duss SB, Brill AK, Bargiotas P, Facchin L, Alexiev F, Manconi M, Bassetti CL Tags: Curr Neurol Neurosci Rep Source Type: research

The Course and Impact of Poststroke Insomnia in Stroke Survivors Aged 18 to 65 Years: Results from the Psychosocial Outcomes In StrokE (POISE) Study 

Conclusions: Chronic insomnia has a negative effect on disability and return to work 1 year after stroke even after adjusting for demographic, psychiatric, and disability factors. Identifying and appropriately targeting insomnia through known effective treatments may improve functional outcomes after stroke. 
Cerebrovasc Dis Extra 2017;7:9 –20
Source: Cerebrovascular Diseases Extra - February 3, 2017 Category: Neurology Source Type: research

Hypersomnia and Reduction in Essential Tremor after Bilateral Subthalamic Ischemic Stroke (P4.285)
Conclusions:Prevalence of hypersomnia among stroke patients ranges from 1.1 to 27[percnt].A reduction in the activity of arousal systems underlies most forms of post stroke hypersomnia.Multiple changes like reduction in the amount of NREM sleep, sleep time, sleep spindles, REM sleep ( in occipital strokes ) were also described depending on the location of the stroke. Thalamic and brainstem strokes can present with pathological EEG patterns like alpha coma.Along with bilateral thalamic strokes, strokes in thalamo-mesencephalic regions, upper pons and medial pontomedullary lesions can cause marked hypersomnia. Cortical and s...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Pesala, S., Nalleballe, K., Bollu, P. Tags: Parasomnias and Hypersomnias Source Type: research

Prevalence of insomnia among stroke survivors in United States: Analysis of National Health and Nutrition Examination Surveys 2005 to 2008. (P5.152)
Conclusions:There is no significant increase in sleep initiation and sleep maintenance or insomnia among stroke survivors in the United States.Disclosure: Dr. Afgan has nothing to disclose. Dr. Saleem has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Afgan, S., Saleem, M., Qureshi, A. Tags: Clinical Neuro-rehabilitation Source Type: research

Non-breathing-related sleep disorders following stroke
Conclusions Sleep disorders that are not breathing-related have scarcely been studied in stroke patients despite the fact that almost all such disorders may present as a result of a cerebrovascular event.
Source: Neurologia - December 19, 2014 Category: Neurology Source Type: research