RESEARCH THE CLINICAL CHARACTERISTICS OF INSOMNIA AND SOME LESION LOCATIONS RELATING TO INSOMNIA IN ISCHEMIC

Ngọc Thảo Phạm1, Đức Thuần Đỗ1, Minh Tuân Trần2,
1 Bệnh viện Quân y 103, Học viện Quân y
2 Học viện Quân y

Main Article Content

Abstract

Objective: To research the clinical characteristics of insomnia and the relationship between lesion locations and insomnia in ischemic stroke patients. Subjects and research methods: Prospective and cross-sectional descriptive study at the Stroke Department, Medical Military 103 Hospital, was carried out from June 2023 to February 2024. Results: In ischemic stroke patients with insomnia, sleep latency on average is 24,83±1,39 (minutes) ; number of awakenings during the night on average is 0,97±0,13 (times); sleep period time per night on average is 6,38±0,12 (hours). The type of insomnia in the middle of sleep has the highest rate (76,70%). Lesions at the parietal lobe, the occipital lobe and the internal capsule refer to insomnia in ischemic stroke patients (p < 0,05). Conclusion: In ischemic stroke patients with insomnia, the clinical characteristics of insomnia mainly include long sleep latency, numerous of awakenings during the night and short sleep period time per night; the type of insomnia in the middle of sleep has the highest rate. Lesions at the parietal lobe, the occipital lobe and the internal capsule are the risk of insomnia after ischemic stroke.

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References

1. Leppavuori A, Pohjasvaara T, Vataja R, et al. Insomnia in ischemic stroke patients. Cerebrovasc Dis. 2002; 14(2):90-7.
2. Bassetti CL. Sleep and stroke. Semin Neurol, 2005; 25(1):19-32.
3. Wang H, Huang Y, Li M, et al. Regional brain dysfunction in insomnia after ischemic stroke: A resting-state fMRI study. Front Neurol, 2022; 13:1025174.
4. Vock J, Achermann P, Bischof M, et al. Evolution of sleep and sleep EEG after hemispheric stroke. J Sleep Res. 2002; 11(4):331-338.
5. Terzoudi A, Vorvolakos T, Heliopoulos I, et al. Sleep architecture in stroke and relation to outcome. Eur Neurol. 2009; 61(1):16-22.
6. Sterr A, Kuhn M, Nissen C, et al. Author Correction: Post-stroke insomnia in community-dwelling patients with chronic motor stroke: Physiological evidence and implications for stroke care. Sci Rep. 2019; 9(1):4958.
7. Giubilei F, Iannilli M, Vitale A, et al. Sleep patterns in acute ischemic stroke. Acta Neurol Scand. 1992; 86(6): 567-571.
8. Baglioni C, Regen W, Teghen A, et al. Sleep changes in the disorder of insomnia: A meta-analysis of polysomnographic studies. Sleep Med Rev. 2014; 18(3):195-213.
9. Baglioni C, Nissen C, Schweinoch A, et al. Polysomnographic characteristics of sleep in stroke: A systematic review and meta-analysis. PLoS One. 2016; 11(3):e0148496.