Evidence map›Paper›PMID 41686357›Full record

ArticleSleep & breathing = Schlaf & Atmung2026

Sleep in MELAS syndrome.

Alejandro Herrero San Martin, Eva María Arias, Cristina Dominguez Gonzalez, Montserrat Morales Conejo, Trinidad Diaz Cambriles

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Alejandro Herrero San MartinNeurology Department, Biomedical Research Networking Center in Neurodegenerative Diseases (CIBERNED), Multidisciplinary Sleep Unit, Research Institute, Hospital 12 de Octubre (I+12), Gta. Málaga, 11, 28041, Madrid, Spain. alexportalrubio@gmail.com.ORCID 0000-0003-3248-7266
Eva María AriasNeumology Department, Multidisciplinary Sleep Unit, Hospital 12 de Octubre, Madrid, Spain.
Cristina Dominguez GonzalezNeurology Department, Neuromuscular Disorders Unit, Research Institute, Hospital 12 de Octubre (I+12), Madrid, Spain.
Montserrat Morales ConejoDepartment of Internal Medicine, Reference Center for Inherited Metabolic Disease-MetabERN, Hospital Universitario 12 de Octubre, Madrid, Spain.
Trinidad Diaz CambrilesNeumology Department, Multidisciplinary Sleep Unit, Hospital 12 de Octubre, Madrid, Spain.

Funding

Sociedad Española Del Sueño Sociedad Española Del Sueño
6 · The paper itself

Abstract

The syndrome of mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) is one of the most frequent maternally inherited mitochondrial disorders, and presents numerous clinical manifestations such us stroke-like episodes, dementia, epilepsy, myopathy, headaches, hearing impairment or diabetes. Little attention has been paid to the possible influence of sleep disorders on this pathology. We conducted subjective and objective assessments of sleep in patients with MELAS syndrome, focusing on sleep-disordered breathing and REM sleep behavior disorder (RBD). We obtained a total of 7 cases with a complete analyzable nocturnal PSG study and expanded the study by reviewing the PSGs performed on patients with MELAS-type mitochondrial disease in recent years, reaching a total of 18 cases. Results showed the presence of obstructive sleep apnea (OSA) in 83% of cases, along with parameters that indicated poor sleep quality in these patients. We did not observe any cases of RBD or central apnea (CSA). In conclusion, this work reinforces the need for evaluation of patients with mitochondrial disease by a sleep specialist, as well as carrying out studies aimed at diagnosing possible sleep disorders, which could modify the treatment and quality of life of these subjects.

Indexed as

MELAS SyndromeREM Sleep Behavior DisorderSleep Apnea, ObstructiveAdultFemaleHumansMaleMiddle AgedPolysomnographyMELAS syndromeMitochondrial diseasesREM sleep behaviorSleepSleep apnea

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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.