Journal
JOURNAL OF PARKINSONS DISEASE
Volume 11, Issue 3, Pages 971-992Publisher
IOS PRESS
DOI: 10.3233/JPD-202425
Keywords
Parkinson's disease; sleep disturbances; excessive daytime sleepiness; REM sleep behavior disorder; restless legs syndrome; sleep apnea syndrome
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Sleep disturbances are common nonmotor symptoms in patients with Parkinson's disease, including RBD, RLS, and EDS. Monitoring sleep problems, especially during the COVID-19 era, is crucial for improving patient's quality of life. Screening and managing sleep problems play an important role in clinical practice.
Sleep disturbances are among the common nonmotor symptoms in patients with Parkinson's disease (PD). Sleep can be disrupted by nocturnal motor and nonmotor symptoms and other comorbid sleep disorders. Rapid eye movement sleep behavior disorder (RBD) causes sleep-related injury, has important clinical implications as a harbinger of PD and predicts a progressive clinical phenotype. Restless legs syndrome (RLS) and its related symptoms can impair sleep initiation. Excessive daytime sleepiness (EDS) is a refractory problem affecting patients' daytime activities. In particular, during the COVID-19 era, special attention should be paid to monitoring sleep problems, as infection-prevention procedures for COVID-19 can affect patients' motor symptoms, psychiatric symptoms and sleep. Therefore, screening for and managing sleep problems is important in clinical practice, and the maintenance of good sleep conditions may improve the quality of life of PD patients. This narrative review focused on the literature published in the past 10 years, providing a current update of various sleep disturbances in PD patients and their management, including RBD, RLS, EDS, sleep apnea and circadian abnormalities.
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