Quantitative sleep electroencephalogram and cognitive performance in Parkinson's disease with and without rapid eye movement sleep behavior disorder. 2023

Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, United States.

Parkinson's disease (PD) patients with REM sleep behavior disorder (RBD) are at greater risk for cognitive decline and RBD has been associated with alterations in sleep-related EEG oscillations. This study evaluates differences in sleep quantitative EEG (qEEG) and cognition in PD participants with (PD-RBD) and without RBD (PD-no-RBD). In this cross-sectional study, polysomnography (PSG)-derived qEEG and a comprehensive level II neuropsychological assessment were compared between PD-RBD (n = 21) and PD-no-RBD (n = 31). Following artifact rejection, qEEG analysis was performed in the frontal and central leads. Measures included Scalp-slow wave (SW) density, spindle density, morphological properties of SW and sleep spindles, SW-spindle phase-amplitude coupling, and spectral power analysis in NREM and REM. The neurocognitive battery had at least two tests per domain, covering five cognitive domains as recommended by the Movement Disorders Society Task Force for PD-MCI diagnosis. Differences in qEEG features and cognitive performance were compared between the two groups. Stepwise linear regression was performed to evaluate predictors of cognitive performance. Multiple comparisons were corrected using the Benjamini-Hochberg method. Spindle density and SW-spindle co-occurrence percent were lower in participants with PD-RBD compared to PD-no-RBD. The PD-RBD group also demonstrated higher theta spectral power during REM. Sleep spindles and years of education, but not RBD, were predictors of cognitive performance. PD participants with RBD have alterations in sleep-related qEEG compared to PD participants without RBD. Although PD-RBD participants had worse cognitive performance compared to PD-no-RBD, regression models suggest that lower sleep spindle density, rather than presence of RBD, predicts worse comprehensive cognitive score. Future studies should include longitudinal evaluation to determine whether sleep-related qEEG alterations are associated with more rapid cognitive decline in PD-RBD.

UI MeSH Term Description Entries

Related Publications

Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
July 2009, Annals of neurology,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
January 2017, Translational neurodegeneration,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
May 2014, Movement disorders : official journal of the Movement Disorder Society,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
September 2021, Sleep,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
June 2003, Annals of neurology,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
January 2021, Journal of personalized medicine,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
November 2013, Sleep medicine,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
July 2012, Movement disorders : official journal of the Movement Disorder Society,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
August 2013, Sleep medicine,
Adeel A Memon, and Corina Catiul, and Zachary Irwin, and Jennifer Pilkington, and Raima A Memon, and Allen Joop, and Kimberly H Wood, and Gary Cutter, and Svjetlana Miocinovic, and Amy W Amara
July 2015, Journal of molecular neuroscience : MN,
Copied contents to your clipboard!