Polisomnographic diagnoses Diagnose Patient (n) Percentage Fragmanted sleep 7 %23.3 OSA 5 %16.7 Simple snoring 4 %13.3 PLMD
3 %10 Increase of deep slow wave sleep 2 %6,7 RBD 1 %3.3 Normal 8 %26.7 Total 30 %100 OSA: Obstructive sleep apnea, PLMD
: Periodic limb movement disorder, RBD: Rapid eye movement sleep behavior disorder Table 3.
Research suggests that as many as 60 percent of older adults have at least a mild form of PLMD
, and it is especially common in elderly women.
Polypharmacy with other sedating medications should be avoided when possible and both exogenous (noise, pets) and endogenous sleep disruptors (sleep apnea, PLMD
) should be addressed.
Participants: All our drug-naive RLS patients who were diagnosed according to the International RLS Study Group criteria (1,15) by a senior neurologist experienced in sleep disorders between February 2008 and August 2008 underwent detailed interviews, neurological examinations, routine biochemical investigations, including serum ferritin, vitamin B12, folic acid, urea, and glucose, and polysomnography when their history indicated symptoms of another sleep disorder (PLMD
, insomnia, or obstructive sleep apnea syndrome [OSAS]).
After the hypothesis was determined, PSG records of 153 patients of different ages and genders (male/female, 112/41) with PLMD
diagnosis were examined retrospectively.
Como se menciono, dentro de las parasomnias que se encuentran frecuentemente en ninos con TDAH, el PLMD
constituye el de mas fuerte asociacion.
Characteristics of PLMD
include involuntary leg twitching or jerking movements during sleep that occur repeatedly throughout the night and result in disrupted sleep.
* Opioid analgesics, such as the combination of oxycodone and acetaminophen (Percocet) and codeine are pain-relieving medications that can also suppress RLS and periodic limb movement disorder (PLMD
often occurs in association with restless legs syndrome, sleep apnea, narcolepsy, and other sleep disorders, it is itself an intrinsic sleep disorder characterized by stereotyped limb movements and sleep disruption.
Because certain pharmacologic agents used for the treatment of PTSD can aggravate PLMD
and RBD, they need to be used with caution when these conditions co-occur.
* Periodic limb movement disorder (PLMD
): Sudden involuntary movement of arms and/or legs during sleep, for example kicking the legs.