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기면병 진단시 다중수면잠복기 검사에서 애매한 소견에 대한 견해: 신경과 의사를 대상으로 한 설문 연구

The Grey Zone in Multiple Sleep Latency Test for Diagnosis of Narcolepsy: A Survey of Korean Neurologist

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초록

Objectives: Clinicians often depend on the results of the the multiple sleep latency test (MSLT) for diagnosing narcolepsy, but the diagnosis can be confusing when there is a co-existence of obstructive sleep apnea (OSA). This study is aimed to address the diagnostic tendency and the strategies of treatment for narcolepsy and other hypersomnia in the grey zone.Methods: We performed a web-based survey of Korean neurologists who were interested in narcolepsy and had experience with sleep studies.Results: The results of this survey present their concerns according to the severity of comorbid OSA in analyzing the results of the MSLT.Conclusions: This study also might help by providing the opinions of experienced Korean neurologists for the assessment and management of excessive daytime sleepiness.

Abstract

Objectives: Clinicians often depend on the results of the the multiple sleep latency test (MSLT) for diagnosing narcolepsy, but the diagnosis can be confusing when there is a co-existence of obstructive sleep apnea (OSA). This study is aimed to address the diagnostic tendency and the strategies of treatment for narcolepsy and other hypersomnia in the grey zone.Methods: We performed a web-based survey of Korean neurologists who were interested in narcolepsy and had experience with sleep studies.Results: The results of this survey present their concerns according to the severity of comorbid OSA in analyzing the results of the MSLT.Conclusions: This study also might help by providing the opinions of experienced Korean neurologists for the assessment and management of excessive daytime sleepiness.

참고문헌 (14)

  1. American Academy of Sleep Medicine, "International classification of sleep disorders (ICSD-3)" (2014), American Academy of Sleep Medicine
  2. Longstreth WT Jr, "The epidemiology of narcolepsy", Sleep, 30, pp.13~26 (2007)[DOI]
  3. RuoffC, "The ICSD-3 and DSM-5 guidelines for diagnosing narcolepsy : clinical relevance and practicality", Curr Med Res Opin, 32, pp.1611~1622 (2016)[DOI]
  4. Nishino S, "Hypocretin(orexin)deficiency in human narcolepsy", Lancet, 355, pp.39~40 (2000)[DOI]
  5. Dietmann A, "Multiple sleep latency test and polysomnography in patients with central disorders of hypersomnolence", Sleep Med, 79, pp.6~10 (2021)[DOI]
  6. Peppard PE, "Increased prevalence of sleep-disordered breathing in adults", Am J Epidemiol, 177, pp.1006~1014 (2013)[DOI]
  7. Fong SY, "Comparing MSLT and ESS in the measurement of excessive daytime sleepiness in obstructive sleep apnoea syndrome", J Psychosom Res, 58, pp.55~60 (2005)[DOI]
  8. Bishop C, "The frequency of multiple sleep onset REM periods among subjects with no excessive daytime sleepiness", Sleep, 19, pp.727~730 (1996)[DOI]
  9. Singh M, "The prevalence of multiple sleep-onset REM periods in a population-based sample", Sleep, 29, pp.890~895 (2006)[DOI]
  10. Krahn LE, "Recommended protocols for the multiple sleep latency test and maintenance of wakefulness test in adults : guidance from the American Academy of Sleep Medicine", J Clin Sleep Med, 17, pp.2489~2498 (2021)[DOI]
  11. 성민재, "기면병 환자에서 다중수면잠복기검사의 검사-재검사 신뢰도 검증", Journal of sleep medicine, 17(2), pp.175~180 (2020), 대한수면연구학회[DOI]
  12. Um YH, "Differential characteristics of repeated polysomnography and multiple sleep latency test parameters in narcolepsy type 1 and type 2 patients : a longitudinal retrospective study", Sleep Breath, 26, pp.1939~1946 (2022)[DOI]
  13. Young T, "Risk factors for obstructive sleep apnea in adults", JAMA, 291, pp.2013~2016 (2004)[DOI]
  14. Chervin RD, "Sleep onset REM periods during multiple sleep latency tests in patients evaluated for sleep apnea", Am J Respir Crit Care Med, 161(2 Pt 1), pp.426~431 (2000)[DOI]

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