caa a22 4500 445299169 CHVBK 20180317142551.0 cr unu---uuuuu 170323e20100901xx s 000 0 eng 10.1007/s11940-010-0089-2 doi (NATIONALLICENCE)springer-10.1007/s11940-010-0089-2 Management of Sleep Disorders in Stroke [Elektronische Daten] [Kyoung Im, Scott Strader, Mark Dyken] Opinion statement: Scientific studies have proven a very strong association between stroke and obstructive sleep apnea (OSA). The prevalence of OSA is very high in patients with acute stroke, and untreated OSA is a stroke risk factor. In the stroke patient population, symptoms of OSA may atypically appear as isolated insomnia, hypersomnia, a dysfunction of circadian rhythm, a parasomnia, or a sleep-related movement disorder. Thus, we believe that in patients with acute stroke, OSA should be addressed first, using full in-laboratory, attended polysomnography (PSG), before other specific sleep disorders are aggressively addressed with specific therapeutic interventions. When OSA is diagnosed, supportive techniques including the application of continuous positive airway pressure (CPAP) therapy, positional therapies, or both should be considered first-line treatments. If OSA is ruled out by PSG, the therapeutic emphasis for sleep-related complaints is routinely based on instituting good sleep hygiene practices and using cognitive behavioral techniques (cognitive therapies, sleep restriction, stimulus control, and progressive relaxation therapies) because patients with stroke may be prone to the adverse effects of many of the medications that are otherwise routinely prescribed for a variety of specific sleep disorders. Springer Science+Business Media, LLC, 2010 Im Kyoung Departments of Internal Medicine and Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 52242, Iowa City, IA, USA aut Strader Scott Clinical Neurophysiology, Department of Neurology, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 52242, Iowa City, IA, USA aut Dyken Mark Neurology, Department of Neurology Sleep Disorders Center, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 52242, Iowa City, IA, USA aut Current Treatment Options in Neurology Current Science Inc. 12/5(2010-09-01), 379-395 1092-8480 12:5<379 2010 12 11940 https://doi.org/10.1007/s11940-010-0089-2 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11940-010-0089-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Im Kyoung Departments of Internal Medicine and Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Strader Scott Clinical Neurophysiology, Department of Neurology, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 52242, Iowa City, IA, USA aut NATIONALLICENCE 700 1- Dyken Mark Neurology, Department of Neurology Sleep Disorders Center, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 52242, Iowa City, IA, USA aut NATIONALLICENCE 773 0- Current Treatment Options in Neurology Current Science Inc 12/5(2010-09-01), 379-395 1092-8480 12:5<379 2010 12 11940 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer