1. Effect of positive airway pressure treatment on excessive fragmentary myoclonus in 100 sleep-related breathing disorder patients.
- Author
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Bergmann, Melanie, Stefani, Ambra, Ibrahim, Abubaker, Brandauer, Elisabeth, Högl, Birgit, and Cesari, Matteo
- Subjects
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MYOCLONUS , *RESPIRATION , *AIRWAY (Anatomy) , *EYE movements - Abstract
Excessive fragmentary myoclonus (EFM) is a frequent finding in patients undergoing video-polysomnography (VPSG). We aimed to evaluate the potential effect of sleep-related breathing disorder's treatment with positive airway pressure (PAP) therapy on EFM. One hundred consecutive patients with EFM and sleep-related breathing disorder subsequently treated with PAP at the sleep lab of the Medical University of Innsbruck, Department of Neurology, Austria, were included. Each patient underwent two nights of VPSG: the first night without and the second night with PAP therapy. Fragmentary myoclonus was automatically scored with validated software, and fragmentary myoclonus index (FMI) and minutes of non-rapid eye movement (NREM) sleep with EFM (min NREM+EFM) were calculated. Under PAP therapy there was a significant decrease in the min NREM+EFM — 60.5 (9.5–161.8) at baseline vs. 37.5 (6.3–168.8) minutes under PAP, p = 0.025. No significant differences were observed for FMI between the two nights. Sleep variables, sleep diagnoses, comorbidities, and medication did not influence FMI or the min NREM+EFM. The initiation of PAP treatment led to a significant reduction of min NREM+EFM , but not of FMI. The results suggest that PAP therapy might influence the distribution of FM potentials. • First study evaluating effect of PAP on excessive fragmentary myoclonus (EFM). • PAP therapy significantly reduces minutes of NREM sleep with EFM. • No significant reduction of fragmentary myoclonus indices. • PAP therapy might have influence on the distribution of FM potentials. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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