中风与神经疾病杂志2025，Vol.42Issue(10)：878-881,4.DOI:10.19845/j.cnki.zfysjjbzz.2025.0162
睡眠相关头部抽动的多导睡眠监测研究
A polysomnographic study of sleep-related head jerks
郝红琳 1黄颜 1孙鹤阳 1高伟芳 1林楠1
作者信息
- 1. 中国医学科学院北京协和医院神经内科,北京 100730
- 折叠
摘要
Abstract
Objective Sleep-related head jerks(SRHJ)are a newly recognized sleep-onset motor phenomenon that has not yet been incorporated into the ICSD-3 classification of sleep disorders,and this study aims to provide a descriptive analysis of the clinical and video polysomnography(VPSG)features of SRHJ patients.Methods A retrospective analysis was performed for the VPSG recordings collected over a 2-year period in Sleep Laboratory of Department of Neurology,Pe-king Union Medical College Hospital,and the patients with a neck myoclonus index of>15 events per hour during REM sleep were diagnosed with SRHJ.The clinical and VPSG features of these patients with SRHJ were analyzed,as well as the proportion of patients with SRHJ-related arousals and micro-arousals or comorbidity with other types of sleep disorders.Results There were eight patients in the SRHJ group,and the occurrence rate of SRHJ during REM sleep was 77%.The head jerk index ranged from 15 to 91.5 events/h during REM sleep and from 0.5 to 4 events/h during NREM sleep.The patients with SRHJ-related arousals and micro-arousals accounted for 44%,among whom 44%were comorbid with jerks in-volving other body parts(such as the upper limbs,the lower limbs,and the shoulders).Comorbid sleep disorders in-cluded obstructive sleep apnea-hypopnea syndrome in two patients,REM sleep behavior disorder in two patients,narco-lepsy in one patient,and propriospinal myoclonus in one patient.Conclusion SRHJ is a paroxysmal motor event mainly observed during REM sleep and often has a low frequency of attack,possibly due to physiological causes.However,fre-quent episodes may disrupt sleep stability.There are currently no diagnostic criteria for SRHJ,and its diagnosis should consider the frequency of attacks,the impact on sleep stability,and potential adverse consequences.关键词
睡眠相关头部抽动/视频多导睡眠监测Key words
Sleep-related head jerks/Video polysomnography分类
医药卫生引用本文复制引用
郝红琳,黄颜,孙鹤阳,高伟芳,林楠..睡眠相关头部抽动的多导睡眠监测研究[J].中风与神经疾病杂志,2025,42(10):878-881,4.
