Sleep state misperception: is there a CNS structural source?
| Autor: | Giselle de Martin Truzzi, Igor de Lima Teixeira, Lucila Bizari Fernandes do Prado, Gilmar Fernandes do Prado, Sergio Tufik, Fernando Morgadinho Coelho |
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| Jazyk: | angličtina |
| Předmět: | |
| Zdroj: | Sleep Science, Vol 14, Iss Special 1, Pp 94-96 |
| Druh dokumentu: | article |
| ISSN: | 1984-0659 1984-0063 |
| DOI: | 10.5935/1984-0063.20200039 |
| Popis: | Introduction: We describe a case of sleep state misperception in a patient with a neurotoxoplasmosis lesion in the left nucleocapsular region. Case report: A 40-year-old female patient presented relating sleeplessness over the past 2 years, concurrent with progressive headaches, dizziness and motor and sensory deficits in the right upper and lower limbs. She had a history of AIDS, on irregular antiretroviral therapy and neurotoxoplasmosis. A polysomnography confirmed the hypothesis of sleep state misperception, and magnetic resonance imaging revealed a residual lesion in the left nucleocapsular region.Conclusion: Different models consider that the sleep state misperception could be correlated to structural abnormalities of the central nervous system. A recent study showed that the medial prefrontal cortex had a lower activation in patients with unrefreshing sleep due to chronic fatigue syndrome. This case report highlights the possibility of sleep state misperception having - at least partially - an anatomical substrate in the left nucleocapsular region. |
| Databáze: | Directory of Open Access Journals |
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