Overview of Sleep and Circadian Rhythm Disorders in Parkinson Disease

Clin Geriatr Med. 2020 Feb;36(1):119-130. doi: 10.1016/j.cger.2019.09.005. Epub 2019 Sep 6.

Abstract

Sleep disorders are common among PD patients and affect quality of life. They are often under-recognized and under-treated. Mechanisms of sleep disorders in PD remain relatively poorly understood. Improved awareness of common sleep problems in PD. Tailored treatment and evidence for efficacy are lacking. The purpose of this review is to provide an overview and update on the most common sleep disorders in PD. We review specific features of the most common sleep disorders in PD, including insomnia, excessive daytime sleepiness, sleep-disordered breathing, restless legs syndrome, circadian rhythm disorders and REM sleep behavior disorders.

Keywords: Circadian rhythm disorders; Insomnia; Nonmotor symptoms; Parkinson disease; RBD; RLS; Sleep disorders; Somnolence.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Aged
  • Circadian Rhythm
  • Humans
  • Parkinson Disease* / complications
  • Parkinson Disease* / physiopathology
  • Parkinson Disease* / psychology
  • Parkinson Disease* / therapy
  • Patient Care Management / methods*
  • Quality of Life*
  • Sleep Wake Disorders* / classification
  • Sleep Wake Disorders* / etiology
  • Sleep Wake Disorders* / therapy