دورية أكاديمية
B-waves are present in patients without intracranial pressure disturbances.
| العنوان: | B-waves are present in patients without intracranial pressure disturbances. |
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| المؤلفون: | Riedel CS; Department of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.; Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, Rigshospitalet, Glostrup, Denmark., Martinez-Tejada I; Department of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.; Department of Health Technology, Technical University of Denmark, Copenhagen, Denmark., Norager NH; Department of Neurosurgery, Rigshospitalet, Copenhagen, Denmark., Kempfner L; Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, Rigshospitalet, Glostrup, Denmark., Jennum P; Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, Rigshospitalet, Glostrup, Denmark.; Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark., Juhler M; Department of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.; Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. |
| المصدر: | Journal of sleep research [J Sleep Res] 2021 Aug; Vol. 30 (4), pp. e13214. Date of Electronic Publication: 2020 Nov 05. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Published on behalf of the European Sleep Research Society by Blackwell Scientific Publications Country of Publication: England NLM ID: 9214441 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2869 (Electronic) Linking ISSN: 09621105 NLM ISO Abbreviation: J Sleep Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford ; Boston : Published on behalf of the European Sleep Research Society by Blackwell Scientific Publications, c1992- |
| مواضيع طبية MeSH: | Sleep*, Intracranial Pressure/*physiology , Sleep Apnea Syndromes/*physiopathology, Aged ; Brain/physiology ; Epilepsy ; Female ; Humans ; Male ; Middle Aged ; Polysomnography ; Sleep, REM |
| مستخلص: | Intracranial pressure (ICP) B-waves are defined as short, repeating elevations of ICP of up to 50 mmHg with a frequency of 0.5-2 waves/min. The presence of B-waves in overnight recordings is regarded as a pathological phenomenon. However, the physiology of B-waves is still not fully understood and studies with transcranial Doppler, as a surrogate marker for ICP, have suggested that B-waves could be a normal physiological phenomenon. We present four patients without known structural neurological disease other than a coincidentally found unruptured intracranial aneurysm. One of the patients had experienced well-controlled epilepsy for several years, but was included because ICP under these conditions is unlikely to be abnormal. Following informed consent, all four patients had a telemetric ICP probe implanted during a prophylactic operation with closure of the aneurysm. They underwent overnight ICP monitoring with simultaneous polysomnography (PSG) sleep studies at 8 weeks after the operation. These patients exhibited nocturnal B-waves, but did not have major structural brain lesions. Their ICP values were within the normal range. Nocturnal B-waves occurred in close association with sleep-disordered breathing (SDB) in rapid eye movement (REM) and non-REM sleep stages. SDB during REM sleep was associated with ramp-type B-waves; SDB during non-REM sleep was associated with the sinusoidal type of B-wave. We propose that B-waves are a physiological phenomenon associated with SDB and that the mechanical changes during respiration could have an essential and previously unrecognised role in the generation of B-waves. (© 2020 European Sleep Research Society.) |
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| معلومات مُعتمدة: | R211-2015-2937 Lundbeckfonden; NNF17OC0024718 Novo Nordisk Fonden; IMK Almene; Alzheimer's Research Fund, Denmark |
| فهرسة مساهمة: | Keywords: Lundberg B-waves; hydrocephalus; normal ICP; polysomnography; sleep apnea; sleep-disordered breathing |
| تواريخ الأحداث: | Date Created: 20201106 Date Completed: 20210924 Latest Revision: 20210924 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1111/jsr.13214 |
| PMID: | 33155362 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1365-2869 |
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| DOI: | 10.1111/jsr.13214 |