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Sleep Disorders in Acute Stroke.

Biljana Kojic1, Zikrija Dostovic1, Mirjana Vidovic1

  • 1Department of Neurology, University Clinical Center Tuzla, Bosnia and Herzegovina.

Materia Socio-Medica
|July 8, 2022
PubMed
Summary
This summary is machine-generated.

Stroke patients with sleep apnea frequently experience sleep disorders, including insomnia and excessive daytime sleepiness. These sleep disturbances are common regardless of stroke type or lesion side.

Keywords:
Sleep ApneaSleep DisordersStroke

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Area of Science:

  • Neurology
  • Sleep Medicine

Background:

  • Stroke patients frequently exhibit sleep-wake disorders such as insomnia, excessive daytime sleepiness, and hypersomnia.
  • Sleep disorders (SD) are a significant concern in the acute phase of stroke.

Purpose of the Study:

  • To analyze the types and frequency of sleep disorders in patients with sleep apnea and acute stroke.
  • To investigate the relationship between sleep disorders and stroke type (hemorrhagic vs. ischemic) and lesion side (right vs. left hemisphere).

Main Methods:

  • The study included 110 patients hospitalized with sleep apnea and acute stroke.
  • Sleep disorders were assessed using validated tools: Berlin Questionnaire, Epworth Sleepiness Scale, Stanford Sleepiness Scale, and a general sleep questionnaire.
  • Strokes were classified by type (hemorrhagic, ischemic) and lesion localization (right/left cerebral hemispheres).

Main Results:

  • All participants experienced some form of sleep disorder, with 20% severe, 35.4% moderate, 37.3% moderate-severe, and 7.3% mild.
  • No statistically significant differences in sleep disorder frequency were found between ischemic and hemorrhagic stroke patients (p=0.58).
  • Snoring was reported by 81% of patients, and all patients experienced daytime sleepiness.

Conclusions:

  • Sleep disorders are highly prevalent in acute stroke patients with sleep apnea, impacting their neuropsychological state.
  • While sleep disorders appear more common in ischemic stroke and bilateral lesions, these differences were not statistically significant.
  • Daytime sleepiness, fatigue, and snoring are the most frequent sleep-related issues in this patient group.