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Improved sleep structure after cerebrospinal fluid shunting for idiopathic normal pressure hydrocephalus

N. Nishida, T. Murakami, Y. Watanabe, H. Toda, S. Matsumoto, K. Iwasaki (Osaka, Japan)

Meeting: 2018 International Congress

Abstract Number: 509

Keywords: Dysautonomia(see autonomic dysfunction), Gait disorders: Treatment, Sleep disorders. See also Restless legs syndrome: Etiology and Pathogenesis

Session Information

Date: Saturday, October 6, 2018

Session Title: Surgical Therapy: Other Movement Disorders

Session Time: 1:45pm-3:15pm

Location: Hall 3FG

Objective: To elucidate the effect of cerebrospinal fluid (CSF) shunt surgery for the sleep of idiopathic normal pressure hydrocephalus.

Background: Sleep Disturbance in Parkinson’s disease and its improvement after surgical therapy (i.e., DBS) are frequently reported. Sleep quality and effect of surgical therapy for other movement disorders is not clear.

Methods: We evaluated the baseline sleep quality of 12 patients (age: 74.8 ± 5.3 years; males: 6, females: 6) using Pittsburgh Sleep Quality Index (PSQI) and ESS (Epworth Sleepiness Scale). Their sleep structure was monitored by polysomnography (PSG) before and two weeks after shunt surgery.

Results: Both PSQI and ESS score were within the normal range (5.3 ± 1.8 and 5.3 ± 3.7, respectively). However, PSG revealed fragmented sleep structure, which was improved after surgery. Among the sleep stage components, stage 2 increased significantly.

Conclusions: Sleep structure evaluated by PSG improved after CSF shunt surgery. To specify their sleep quality, we need some appropriate battery addressing nocturnal bladder symptoms.

To cite this abstract in AMA style:

N. Nishida, T. Murakami, Y. Watanabe, H. Toda, S. Matsumoto, K. Iwasaki. Improved sleep structure after cerebrospinal fluid shunting for idiopathic normal pressure hydrocephalus [abstract]. Mov Disord. 2018; 33 (suppl 2). https://www.mdsabstracts.org/abstract/improved-sleep-structure-after-cerebrospinal-fluid-shunting-for-idiopathic-normal-pressure-hydrocephalus/. Accessed June 15, 2025.
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