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The purpose of this study is to determine the relationship between sleep disorders and cerebral hemodynamics.
Sleep disorders continue to be the most unrecognized modifiable risk factor for stroke. The relationship between sleep disorders and vascular risk factors and stroke has been well-documented but not fully understood. The investigators hypothesize hemodynamics impairment to be its potential mechanism. It has been reported that sleep-related breathing disorder, a type of sleep disorders, contributed as a risk factor for stroke through hemodynamic and hematologic changes. The purpose of this study is to determine the relationship between different kind of sleep disorders and cerebral hemodynamics, including OSHAS, RLS, RBD, narcolepsy, etc. The dynamic cerebral auto-regulation (dCA) and Transcranial Doppler (TCD) will be used to evaluate cerebral hemodynamics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients with sleep disorders | |||
| normal individuals without sleep disorders |
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| Measure | Description | Time Frame |
|---|---|---|
| phase difference(PD) in degree | A dynamic cerebral auto-regulation parameter derived from transfer function analysis.Continuous cerebral blood flow velocities of bilateral middle cerebral artery will be assessed noninvasively using transcranial Doppler. Spontaneous arterial blood pressure will be simultaneously recorded using a servo-controlled plethysmograph on the left or right middle finger with an appropriate finger cuff size. Transfer function analysis will be used to derive the autoregulatory parameters. | 6 months |
| the rate of recovery of cerebral blood flow velocity | A dynamic cerebral auto-regulation parameter derived from transfer function analysis.The details are same as outcome 1 | 6 months |
| gain in cm/s/mmHg | A dynamic cerebral auto-regulation parameter derived from transfer function analysis.The details are same as outcome 1 | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| mean MCA blood flow velocity (mCBFV) changes from supine to upright position | 6 months | |
| pulsatility index (PI) changes from supine to upright position | 6 months | |
| Measure | Description | Time Frame |
|---|---|---|
| scores of Pittsburgh sleep quality index(PSQI) | 6 months | |
| scores of Hamilton Anxiety Scale(HAMA) | 6 months | |
| scores of Hamilton Depression Scale(HAMD) |
Inclusion Criteria:
Exclusion Criteria:
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The investigators conducted a prospective study of consecutive patients with sleep disorders treated at the Department of Neurology, First Hospital of Jilin University, China, from March 2016 to March 2017. Each patient was diagnosed with intrinsic sleep disorders by two neurologists according to the Diagnostic Criteria for Sleep Dyssomnias.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Hospital of Jilin University | Changchun | Jilin | 130000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33776891 | Derived | Deng F, Zhang Y, Zhang R, Tang Q, Guo Z, Lv Y, Wang Z, Yang Y. Compromised Dynamic Cerebral Autoregulation in Patients With Central Disorders of Hypersomnolence. Front Neurol. 2021 Mar 11;12:634660. doi: 10.3389/fneur.2021.634660. eCollection 2021. |
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| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D012893 | Sleep Wake Disorders |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D020920 | Dyssomnias |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
| D009461 | Neurologic Manifestations |
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| resistance index (RI) changes from supine to upright position |
| 6 months |
| 6 months |
| Polysomnography(PSG) | within 6 months |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |