Sleepiness in Parkinson's Patients With Continuous Dopaminergic Delivery Device or Deep Brain Stimulation
Study Details
Study Description
Brief Summary
Sleepiness is frequent in parkinsonian patients, increasing with the duration of disease. By patients with motor fluctuations, continuous dopaminergic delivery devices or deep brain stimulation are justified to improve the motor prognosis. Antiparkinsonian treatments, especially dopaminergic agonists, may worsen the sleepiness and thus affect the quality of life. The investigators aimed to monitor sleepiness in parkinsonian patients before and during treatment with continous dopaminergic delivery device or deep brain stimulation.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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continuous apomorphine delivery apomorphine, subcutaneous administration, continuous delivery during 8 to 24 hours/day |
Diagnostic Test: Multiple sleep latency tests
The investigators measure the objective sleepiness by recording the electro-encephalogramm during four experimental diurnal naps. They also perform a nocturnal polysomnography prior to the tests for a better interpretation.
Other Names:
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continous levodopa/carbidopa delivery levodopa/carbidopa monohydrate, jejunal administration, continuous delivery during 8 to 24 hours/day |
Diagnostic Test: Multiple sleep latency tests
The investigators measure the objective sleepiness by recording the electro-encephalogramm during four experimental diurnal naps. They also perform a nocturnal polysomnography prior to the tests for a better interpretation.
Other Names:
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deep brain stimulation bilateral subthalamic electrical stimulation, intracranial neurosurgical electrodes, individual electrical parameters settings |
Diagnostic Test: Multiple sleep latency tests
The investigators measure the objective sleepiness by recording the electro-encephalogramm during four experimental diurnal naps. They also perform a nocturnal polysomnography prior to the tests for a better interpretation.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Mean sleep latency [before continuous antiparkinsonian treatment]
Algebric mean (in minutes) of the sleep latency for the four experimental naps
- Mean sleep latency [6 months after continuous antiparkinsonian treatment]
Algebric mean (in minutes) of the sleep latency for the four experimental naps
- Mean sleep latency [12 months after continous antiparkinsonian treatment]
Algebric mean (in minutes) of the sleep latency for the four experimental naps
Eligibility Criteria
Criteria
Inclusion Criteria:
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patient with Parkinson's disease and motor fluctuations
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and indicated for a continuous dopaminergic delivery device or deep brain stimulation
Exclusion Criteria:
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age < 18 years
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refusal for the continuous dopaminergic delivery device or deep brain stimulation
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wake-promoting drugs intake
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refusal to participate
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legal protection
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uncontrolled sleep apnea
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Nancy University Hospital | Nancy | France | 54000 |
Sponsors and Collaborators
- Central Hospital, Nancy, France
Investigators
- Study Chair: El Mehdi Siaghy, Research and Innovation Department
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2020PI085