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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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)
- American Academy of Sleep Medicine, "International classification of sleep disorders (ICSD-3)" (2014), American Academy of Sleep Medicine
- Longstreth WT Jr, "The epidemiology of narcolepsy", Sleep, 30, pp.13~26 (2007)[DOI]
- 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]
- Nishino S, "Hypocretin(orexin)deficiency in human narcolepsy", Lancet, 355, pp.39~40 (2000)[DOI]
- Dietmann A, "Multiple sleep latency test and polysomnography in patients with central disorders of hypersomnolence", Sleep Med, 79, pp.6~10 (2021)[DOI]
- Peppard PE, "Increased prevalence of sleep-disordered breathing in adults", Am J Epidemiol, 177, pp.1006~1014 (2013)[DOI]
- 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]
- Bishop C, "The frequency of multiple sleep onset REM periods among subjects with no excessive daytime sleepiness", Sleep, 19, pp.727~730 (1996)[DOI]
- Singh M, "The prevalence of multiple sleep-onset REM periods in a population-based sample", Sleep, 29, pp.890~895 (2006)[DOI]
- 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]
- 성민재, "기면병 환자에서 다중수면잠복기검사의 검사-재검사 신뢰도 검증", Journal of sleep medicine, 17(2), pp.175~180 (2020), 대한수면연구학회[DOI]
- 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]
- Young T, "Risk factors for obstructive sleep apnea in adults", JAMA, 291, pp.2013~2016 (2004)[DOI]
- 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]
