The effect of posterior hypothalamus region deep brain stimulation on sleep
| Autor: | Stjepana Kovac, Mary-Anne Wright, Matthew C. Walker, Ludvic Zrinzo, Sofia H Eriksson, Manjit Matharu |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Sleep Wake Disorders Deep brain stimulation Deep Brain Stimulation medicine.medical_treatment Hypothalamus Cluster Headache medicine Humans Neuroscience of sleep Aged SUNCT Syndrome business.industry Cluster headache General Medicine Parasomnia medicine.disease Sleep in non-human animals Treatment Outcome Anesthesia Wakefulness Neurology (clinical) Headaches medicine.symptom Sleep Trigeminal autonomic cephalalgia business |
| Zdroj: | Cephalalgia. 34:219-223 |
| ISSN: | 1468-2982 0333-1024 |
| Popis: | Background Early observations by von Economo showed that the posterior part of the hypothalamus (PH) plays a prominent role in sleep-wake regulation. The PH is a candidate area involved in cluster headaches and other trigeminal autonomic cephalalgias (TACs) and is targeted for deep brain stimulation (DBS). Case reports Sleep studies in two men, 69- and 39-years-old, with pre-existing sleep disorders, before and after PH-DBS for pharamacoresistant cluster headache and SUNCT syndrome showed that PH-DBS led to a dramatic alteration of the patients’ sleep patterns. This coincided with an improvement of the predominantly diurnal TACs, suggesting a PH-DBS-induced change in sleep patterns. Hypnograms after DBS demonstrated disrupted sleep and a prolonged period of wakefulness after midnight in both patients, which was reproduced the second night. Conclusions PH-DBS, a promising treatment for severe refractory TACs, affects sleep quality and pre-existing sleep disorders. This needs to be considered when treating patients with PH-DBS. |
| Databáze: | OpenAIRE |
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