심한 폐쇄수면무호흡증후군 환자들의 인지기능장애: 신경심리 검사 및 사건유발전위
Cognitive Dysfunctions in Patients With Severe Obstructive Sleep Apnea Syndrome: Neuropsychological Test and Event-Related Potential Study
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Abstract
Background: Patients with obstructive sleep apnea syndrome (OSAS) show variety of dysfunctions in cognitions including general cognitive function, attention, and frontal lobe and executive function. However, there is no consensus on the main features of the cognitive dysfunction in OSAS patients. So we performed neuropsychological tests and event-related potential (ERP) studies in patients with severe OSAS to evaluate the cognitive dysfunctions and changes of auditory and visual P300. Methods: Twenty-eight men with severe OSAS (apnea hypopnea index (AHI)=63.1±17.8/hr) and 16 age, sex, education- matched normal controls (AHI=2.9±1.8/hr) underwent neuropsychological tests and ERP studies. Results: Patients with severe OSAS showed deficits in corsi block forward and backward test during neuropsychological evaluation, and delayed latency and decreased amplitude of auditory P300. There were significant correlations between auditory P300 amplitudes and digit span forward or corsi block forward test scores, and between visual P300 amplitudes and digit symbol test scores. Conclusions: These findings suggest that severe OSAS patients may have deficits in attention and short-term memory, and abnormal auditory P300.
참고문헌 (21)
- Mazza S, "Most obstructive sleep apnoea patients exhibit vigilance and attention deficits on an extended battery of tests", Eur Respir J, 25, pp.75~80 (2005)
- Gosselin N, "Attentional deficits in patients with obstructive sleep apnea syndrome: an event-related potential study", Clin Neurophysiol, 117, pp.2228~2235 (2006)
- Saunamaki T, "A review of executive functions in obstructive sleep apnea syndrome", Acta Neurol Scand, 115, pp.1~11 (2007)
- Findley LJ, "Cognitive impairment in patients with obstructive sleep apnea and associated hypoxemia", Chest, 90, pp.686~690 (1986)
- Bedard MA, "Obstructive sleep apnea syndrome: pathogenesis of neuropsychological deficits", J Clin Exp Neuropsychol, 13, pp.950~964 (1991)
- Wong KK, "Brain function in obstructive sleep apnea: results from the Brain Resource International Database", J Integr Neurosci, 5, pp.111~121 (2006)
- Decary A, "Cognitive deficits associated with sleep apnea syndrome: a proposed neuropsychological test battery", Sleep, 23, pp.369~381 (2000)
- Polich J, "Clinical application of the P300 event-related brain potential", Phys Med Rehabil Clin N Am, 15, pp.133~161 (2004)
- Kotterba S, "Event related potentials and neuropsychological studies in sleep apnea patients", Pneumologie, 51(3), pp.712~715 (1997)
- Kotterba S, "Neuropsychological investigations and event-related potentials in obstructive sleep apnea syndrome before and during CPAP-therapy", J Neurol Sci, 159, pp.45~50 (1998)
- Inoue Y, "P300 abnormalities in patients with severe sleep apnea syndrome", Psychiatry Clin Neurosci, 55, pp.247~248 (2001)
- Sangal RB, "Obstructive sleep apnea and abnormal P300 latency topography", Clin Electroencephalogr, 28, pp.16~25 (1997)
- Rumbach L, "Auditory event-related potentials in obstructive sleep apnea: effects of treatment with nasal continuous positive airway pressure", Electroencephalogr Clin Neurophysiol, 80, pp.454~457 (1991)
- Walsleben JA, "Auditory event-related potentials and brain dysfunction in sleep apnea", Electroencephalogr Clin Neurophysiol, 74, pp.297~311 (1989)
- Sangal RB, "Abnormal visual P300 latency in obstructive sleep apnea does not change acutely upon treatment with CPAP", Sleep, 20, pp.702~704 (1997)
- Afifi L, "Sleep and respiratory stimulus specific dampening of cortical responsiveness in OSAS", Respir Physiol Neurobiol, 136, pp.221~234 (2003)
- Verstraeten E, "Executive function in sleep apnea: controlling for attentional capacity in assessing executive attention", Sleep, 27, pp.685~693 (2004)
- Alchanatis M, "Sleep apnea-related cognitive deficits and intelligence: an implication of cognitive reserve theory", J Sleep Res, 14, pp.69~75 (2005)
- Naegele B, "Cognitive executive dysfunction in patients with obstructive sleep apnea syndrome (OSAS) after CPAP treatment", Sleep, 21, pp.392~397 (1998)
- Ferini-Strambi L, "Cognitive dysfunction in patients with obstructive sleep apnea (OSA): partial reversibility after continuous positive airway pressure (CPAP)", Brain Res Bull, 61, pp.87~92 (2003)
- Beebe DW, "The neuropsychological effects of obstructive sleep apnea: a meta-analysis of norm-referenced and case-controlled data", Sleep, 26, pp.298~307 (2003)
