ArticleFrontiers in neurology2025
The impact of periodic leg movements during sleep on neurological recovery in patients with acute mild cerebral infarction.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Acute minor cerebral infarction is a common cerebrovascular disease, and its prognosis is influenced by various factors. This study aims to explore the relationship between nocturnal periodic leg movements and neurological function 3 months after acute mild cerebral infarction. Methods: A retrospective study was conducted based on hospital records, involving patients diagnosed with acute minor cerebral infarction who underwent polysomnography at Yangzhou University Affiliated Hospital from September 2023 to October 2024. Patients were followed up by phone 3 months later, and the modified Rankin Scale (mRS) was completed. Based on the scores, patients were divided into a good prognosis group (0-2 points) and a poor prognosis group (3-6 points). The correlation between sleep-related scales, polysomnography, and prognosis was analyzed using Spearman correlation analysis. Further, indicators related to prognosis (data with Results: A total of 766 patients were included, with 203 patients in the poor prognosis group. The results indicated that patients with a history of hypertension (OR = 0.589, 95% CI = 0.401 to 0.863), higher HCY levels (OR = 1.037, 95% CI = 1.005 to 1.070), radiate crown area cerebral infarction (OR = 1.655, 95% CI = 1.150 to 2.382), longer N1% (OR = 1.032, 95% CI = 1.013 to 1.052), and higher PLMI (OR = 1.006, 95% CI = 1.001 to 1.010) are risk factors for the prognosis of Acute minor cerebral infarction patients at 3 months ( Conclusion: PLMS is an independent risk factor for impaired neurological recovery in patients with acute minor cerebral infarction. This finding suggests that systematic sleep monitoring should be conducted in clinical practice for acute minor cerebral infarction, and early identification and intervention targeting PLMS may become a new focus for improving long-term prognosis in patients.
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