Evidence map›Paper›PMID 27250807›Full record

Observational studyJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2016

Sleep Pathology in Creutzfeldt-Jakob Disease.

Peter Kang, Gabriela S de Bruin, Leo H Wang, Beth A Ward, Beau M Ances, Miranda M Lim, Robert C Bucelli

Abstract readCase ReportsObservational Study
In one paragraph

Observational study in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Management of REM sleep behavior disorder: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Pooled it
  2. Article
  3. Parasomnias in movement disorders: a narrative review.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  4. Review
  5. New Light on Prions: Putative Role of PrPInternational journal of molecular sciences · 2024
    Review
  6. Presence of anti-IgLON5 antibody in a case of sporadic Creutzfeldt-Jakob disease with sleep disturbance as a prominent symptom.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  7. Review
  8. Clinical manifestations and polysomnography-based analysis in nine cases of probable sporadic Creutzfeldt-Jakob disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  9. Insomnia in neurological diseases.Neurological research and practice · 2021
    Article
  10. Sleep Disturbances Associated with Neurological Autoimmunity.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
  11. Dream enactment behavior: review for the clinician.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  12. Sleep Disturbances in Patients with Autoimmune Encephalitis.Current neurology and neuroscience reports · 2020
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Peter KangDepartment of Neurology, Washington University School of Medicine, Saint Louis, MO.
Gabriela S de BruinDepartment of Neurology, Washington University School of Medicine, Saint Louis, MO.
Leo H WangDepartment of Neurology, University of Washington School of Medicine, Seattle, WA.
Beth A WardSt. Luke's Hospital Sleep Medicine and Research Center, Saint Louis, MO.
Beau M AncesDepartment of Neurology, Washington University School of Medicine, Saint Louis, MO.
Miranda M LimSleep Disorders Clinic, VA Portland Health Care System; Departments of Medicine, Neurology, and Behavioral Neuroscience, and the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR.
Robert C BucelliDepartment of Neurology, Washington University School of Medicine, Saint Louis, MO.

Funding

Sleep-wake disturbances in traumatic brain injuryIK2BX002712 · VA · PORTLAND VA MEDICAL CENTER · PI LIM, MIRANDA M · 2016 to 2020
–
BLRD VA IK2 BX002712
6 · The paper itself

Abstract

STUDY

objectivesAssociations between sleep and neurodegenerative diseases have become increasingly evident. This study aims to characterize the prevalence and type of sleep pathology in Creutzfeldt-Jakob disease (CJD), a rapidly progressive, fatal neurodegenerative disease.

methodsIn this observational cross-sectional cohort study, we performed a retrospective analysis of sleep signs and symptoms in a consecutive group of patients with definite CJD at a tertiary care medical center (n = 28). Polysomnography was performed in 14 patients.

resultsAlthough only 5 of 28 patients carried a premorbid sleep diagnosis, signs/symptoms of sleep pathology were present in 25 patients. Eleven reported hypersomnia whereas 13 reported insomnia. Seven had restless legs symptoms and/or periodic limb movements of sleep, and nine reported parasomnias. Of the 14 patients who underwent polysomnography, 1 did not show sleep, 9 (69%) had poorly formed or absent sleep spindles and/or K-complexes, and 10 (77%) had sleep-disordered breathing. Of the 8 patients who experienced rapid eye movement (REM) sleep during the polysomnography, 3 (38%) showed REM sleep without atonia, and 2 patients met criteria for REM sleep behavior disorder. Median total sleep time was 226 (interquartile range [IQR] = 195-282) min. Median sleep efficiency was 58.5% (IQR = 41-65.5 %). Median REM time was 0.35% (IQR = 0-7.125%). Five patients (38%) demonstrated periodic limb movements during polysomnography. One case is presented.

conclusionsSleep pathology is common in CJD, and screening for sleep pathology is indicated in the evaluation of patients with rapidly progressive dementias. Early identification and treatment of sleep pathology may provide an intervenable target for CJD.

Indexed as

AdultCohort StudiesCreutzfeldt-Jakob SyndromeCross-Sectional StudiesHumansMalePolysomnographyRetrospective StudiesSleep Wake DisordersCreutzfeldt-Jakob diseasedementianeurodegenerationprion diseasessleep disorders

Identifiers

PMID27250807
PMCPMC4918986

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.