Short Communication, J Neurosci Clin Res Vol: 8 Issue: 1
Neurological Aspects of Sleep Disorders
Emily Beth Charania*
Department of Psychiatry and Bio behavioral Sciences, University of California, California, USA
*Corresponding Author: Emily Beth Charania
Department of Psychiatry and Bio
behavioral Sciences, University of California, California, USA
E-mail: emily@char.ucla.edu
Received date: 28 February, 2023, Manuscript No. JNSCR-23-95536;
Editor assigned date: 03 March, 2023, Pre QC No. JNSCR-23-95536(PQ);
Reviewed date: 17 March, 2023, QC No. JNSCR-23-95536;
Revised date: 24 March, 2023, Manuscript No. JNSCR-23-95536(R);
Published date: 31 March, 2023, DOI: 10.4172/Jnscr.1000150
Citation: Charania EB (2023) Neurological Aspects of Sleep Disorders. J Neurosci Clin Res 8:1.
Description
Sleep disorders are a group of conditions that affect the quantity and quality of sleep, leading to various neurological and behavioral problems. Neurological aspects of sleep disorders involve dysfunction in different brain regions and circuits that are involved in sleep regulation, such as the brainstem, thalamus, hypothalamus, and cortical areas. Understanding these neurological aspects is essential for the diagnosis and management of sleep disorders.
Insomnia is a sleep disorder characterized by difficulty falling or staying asleep. Neurologically, insomnia is associated with hyperactivity in the brain regions involved in regulating wakefulness and arousal, such as the frontal cortex, thalamus, and brainstem. Insomnia is often associated with increased activity in the amygdala, a brain region involved in the processing of emotions. This hyperactivity can lead to increased arousal and difficulty falling or staying asleep.
Treatment for insomnia involves behavioral interventions, such as sleep hygiene education and cognitive-behavioral therapy, as well as medication, such as sedatives and hypnotics. These treatments aim to reduce the hyperactivity in the brain regions involved in wakefulness and arousal, thus promoting sleep.
Obstructive Sleep Apnea (OSA) is a sleep disorder characterized by repeated episodes of complete or partial obstruction of the upper airway during sleep, leading to intermittent hypoxia and disrupted sleep. Neurologically, OSA is associated with changes in the brainstem and hypothalamus, which are involved in regulating breathing and cardiovascular function. These changes can lead to alterations in neurotransmitter systems, such as decreased serotonin and increased norepinephrine levels, which can cause increased arousal and disrupted sleep.
Treatment for OSA involves Continuous Positive Airway Pressure (CPAP) therapy, which provides continuous air pressure to keep the airway open during sleep. CPAP therapy can improve sleep quality and reduce the risk of cardiovascular and neurological complications associated with OSA.
Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness, cataplexy (sudden loss of muscle tone triggered by strong emotions), and other symptoms, such as sleep paralysis and hypnagogic hallucinations. Neurologically, narcolepsy is associated with dysfunction in the hypothalamus and brainstem, which are involved in regulating sleep and wakefulness. Specifically, narcolepsy is associated with a deficiency in orexin/hypocretin, a neurotransmitter that promotes wakefulness and arousal.
Treatment for narcolepsy involves medications that increase the levels of orexin/hypocretin, such as modafinil and armodafinil, as well as medications that suppress sleep, such as antidepressants.
Restless Leg Syndrome (RLS) is a sleep disorder characterized by an unpleasant sensation in the legs, which is relieved by movement. RLS can disrupt sleep and lead to daytime fatigue and other neurological symptoms, such as depression and anxiety. Neurologically, RLS is associated with dysfunction in the basal ganglia and dopaminergic pathways, which are involved in regulating movement and sensation.
Treatment for RLS involves medications that increase the levels of dopamine, such as levodopa and dopamine agonists. Iron supplementation may also be beneficial for some patients with RLS, as iron deficiency has been associated with RLS symptoms.
Sleep Behavior Disorder (RBD) is a sleep disorder Characterized by the loss of muscle atonia during the sleep, leading to the enactment of dreams and potentially violent behavior. Neurologically, RBD is associated with dysfunction in the brainstem and spinal cord, which are involved in regulating muscle atonia during the sleep.