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100 1 _ |a Doppler, Christopher E. J.
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245 _ _ |a Disruption of Sleep Microarchitecture Is a Sensitive and Early Marker of Parkinson’s Disease
260 _ _ |a Amsterdam
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520 _ _ |a AbstractBackground:Although sleep disturbances are highly prevalent in patients with Parkinson’s disease, sleep macroarchitecture metrics show only minor changes.Objective:To assess alterations of the cyclic alternating pattern (CAP) as a critical feature of sleep microarchitecture in patients with prodromal, recent, and established Parkinson’s disease.Methods:We evaluated overnight polysomnography for classic sleep macroarchitecture and CAP metrics in 68 patients at various disease stages and compared results to 22 age- and sex-matched controls.Results:Already at the prodromal stage, patients showed a significantly reduced CAP rate as a central characteristic of sleep microarchitecture. Temporal characteristics of CAP showed a gradual change over disease stages and correlated with motor performance. In contrast, the sleep macroarchitecture metrics did not differ between groups.Conclusion:Data suggest that alterations of sleep microarchitecture are an early and more sensitive characteristic of Parkinson’s disease than changes in sleep macroarchitecture.
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700 1 _ |a Smit, Julia
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700 1 _ |a Hommelsen, Maximilian
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700 1 _ |a Seger, Aline
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700 1 _ |a Okkels, Niels
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700 1 _ |a Horsager, Jacob
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700 1 _ |a Kinnerup, Martin
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700 1 _ |a Hansen, Allan K.
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700 1 _ |a Fedorova, Tatyana D.
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700 1 _ |a Knudsen, Karoline
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700 1 _ |a Otto, Marit
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700 1 _ |a Nahimi, Adjmal
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700 1 _ |a Borghammer, Per
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700 1 _ |a Sommerauer, Michael
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773 _ _ |a 10.3233/JPD-223442
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