Sleep-related respiratory and haemodynamic changes in Shy-Drager syndrome: a case report

G. Coccagna, P. Martinelli, M. Zucconi, F. Cirignotta, G. Ambrosetto

Research output: Contribution to journalArticle

Abstract

The sleep-related respiratory and blood pressure changes in a patient with Shy-Drager syndrome associated with the sleep apnoea syndrome are reported. Polygraphic recordings showed repeated apnoeic episodes during both sleep and wakefulness. Systemic arterial pressure values during sleep tended to be lower than in two other patients with Shy-Drager syndrome, and, unlike observations in the sleep apnoea syndrome, nocturnal swings of arterial pressure related to obstructive apnoea were markedly reduced. As a result, the total sleep time was reduced; a sleep with several features similar to REM stage was identified; during this stage the arterial pressure reached the lowest levels recorded. A review of the literature revealed that nocturnal respiratory disturbances were detectable in a high percentage of patients with Shy-Drager syndrome. We suggest that such an association is not a chance one.

Original languageEnglish
Pages (from-to)310-313
Number of pages4
JournalJournal of Neurology
Volume232
Issue number5
DOIs
Publication statusPublished - Oct 1985

Keywords

  • Shy-Drager syndrome
  • Sleep apnoea syndrome

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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