Sleep macro- and micro-structure in autoimmune encephalitis: single case report from the subacute phase of the disease to the follow-up

Neurocase. 2022 Apr;28(2):235-238. doi: 10.1080/13554794.2022.2072228. Epub 2022 May 8.

Abstract

Sleep disorders are frequently described in autoimmune encephalitis (AE); however, data on sleep texture are fragmentary. We analyzed the polysomnography of a woman affected by AE, and we performed cyclic alternating pattern (CAP) scoring during the subacute phase of the disease and at follow-up. The first polysomnography showed deviations both at macro and microstructure levels, with a marked reduction of CAP rate compare to healthy sleepers (20.8% vs 33%). After 6-months sleep macrostructure improved, whilst CAP parameters remained abnormal. This is the first polysomnographic analysis, comprehensive of microstructural data, performed in AE. We briefly discuss the results.

Keywords: CAP; Cyclic alternating pattern; autoimmune disorders; polysomnography.

Publication types

  • Case Reports

MeSH terms

  • Electroencephalography
  • Encephalitis* / complications
  • Encephalitis* / diagnosis
  • Female
  • Follow-Up Studies
  • Hashimoto Disease
  • Humans
  • Polysomnography / methods
  • Sleep*

Supplementary concepts

  • Hashimoto's encephalitis