Increased electroencephalographic high frequencies during the sleep onset period in patients with restless legs syndrome

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Study Objectives: To analyze the electroencephalographic (EEG) spectral content in untreated patients with restless legs syndrome (RLS) during the sleep onset period (SOP) and during the quiet wakefulness preceding sleep, in order to test the hypothesis that a state of hyperarousal might be present during the SOP with RLS. Setting: Sleep Research Centre. Patients: Twenty-seven untreated consecutive patients with RLS (mean age = 53.6 y), 11 untreated consecutive patients with primary insomnia (mean age = 58.9 y), and 14 normal controls (mean age = 50.3 y). Methods: SOP was defined as the 10-min period centered with the occurrence of the first sleep spindle in the EEG, and then subdivided into SOP-1 (period of 5 min before the first spindle) and SOP-2 (period of 5 min following). Leg movements occurring during SOP were counted and used as a covariate in the statistical analysis. Also, one period of 1 min of artifact-free quiet wakefulness after lights off was identified. EEG spectral analysis was run during these periods using the C3/A2 or C4/A1 channel. Measurements and Results: Increased EEG alpha and beta bands and/or beta/delta ratio in RLS versus normal controls, during both wakefulness preceding sleep and SOP (both parts SOP-1 and SOP-2) were found, which were, however, smaller than the increases found in patients with insomnia. Conclusion: The results of this study support the hypothesis of the presence of a state of hyperarousal in restless legs syndrome (RLS) during the sleep onset period. Treatment for RLS might need to take these findings into consideration.

Original languageEnglish
Pages (from-to)1375-1381
Number of pages7
JournalSleep
Volume37
Issue number8
DOIs
Publication statusPublished - Aug 1 2014

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Restless Legs Syndrome
Sleep
Wakefulness
Sleep Initiation and Maintenance Disorders
varespladib methyl
Artifacts

Keywords

  • Beta band
  • Hyperarousal
  • Insomnia
  • Restless legs syndrome
  • Sleep onset period
  • Spectral EEG analysis

ASJC Scopus subject areas

  • Physiology (medical)
  • Clinical Neurology

Cite this

Increased electroencephalographic high frequencies during the sleep onset period in patients with restless legs syndrome. / Ferri, Raffaele; Cosentino, Filomena I I; Manconi, Mauro; Rundo, Francesco; Bruni, Oliviero; Zucconi, Marco.

In: Sleep, Vol. 37, No. 8, 01.08.2014, p. 1375-1381.

Research output: Contribution to journalArticle

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