Biomedical subjects

B Ondzé

Publications and source records attributed to B Ondzé.

3 recordsLinked to original sources

PubMed2001

[Disorders of awakening. Second part: secondary disorders].

Secondary disorders of awakening should be distinguished from primary disorders, narcolepsy, idiopathic hypersomnia, recurrent hypersomnia, the causes of which are still unknown despite regular progress in the knowledge of the pathophysiology of narcolepsy. By definition secondary disorders of awakening are due to clearly identified causes of various origins. Two main types of secondary disorders of awakening have been distinguished: those depending on more or less voluntary sleep curtailment or on psychotropic or non psychotropic medications and those consecutive to different disorders, respiratory, neurologic, traumatic, psychotropic, infectious, metabolic, endocrinologic, and insomnia. Some of these disorders, frequent or very frequent, are polysomnographically investigated, night and day, enabling to assess in each case the type and severity of sleepiness. Others are only clinically evaluated. Disorders of awakening secondary to neurologic conditions and to a lesser extent to infectious conditions offer a special opportunity to study the anatomical basis of these disorders. They are granted more space.

Alzheimer Disease↗

PubMed2001

[Advanced sleep phase syndrome].

The Advanced Sleep Phase Syndrome (ASPS) is a sleep disorder characterized by an early sleep onset and early awakening without any disturbance of the sleep structure. The management of this disease requires clinical and laboratory investigations in an attempt to confirm the phase advance of body core temperature and melatonin rhythm. The use of light therapy, possibly associated with chronotherapy or melatonin intake has been proposed. The evolution is variable. Seven subjects, aged 15 to 72 were diagnosed in our sleep disorders unit by mean of sleep log, actigraphy, sleep and temperature recording. The sleep onset and sleep offset times were approximately the same according to sleep log, actigraphy and night polysomnography. The nadir of body core temperature was at 01:38 +/- 01:03. Two familial cases were identified of which 1 was investigated in constant routine condition with hourly blood sampling. An advanced phase of melatonin and cortisol was evidenced. The disease temporarily improved in 3 cases with light therapy and in one case with the association of light therapy and chronotherapy. These data show the difficulties of the management and the treatment of this rarely diagnosed disease.

Adolescent↗

PubMedDate not supplied

[Arousal of respiratory origin and upper airway resistance syndrome: pathophysiological and diagnostic aspects].

INTRODUCTION: The description of Upper Airway Resistance Syndrome (UARS) let us to recognize the importance of the pair 'respiratory effort-arousal' on sleep-disordered breathing pathophysiology. DEVELOPMENT: First part of this paper reviews knowledge about respiratory arousal pathophysiology. Arousal response is normally needed to end obstructive respiratory episodes, but it is also the cause of sleep fragmentation. Among respiratory stimuli able to provoke arousal (respiratory effort, hypoxemia and hypercapnia), respiratory effort is the most constant. Neurophysiological mechanisms involved in arousal, sleep and vegetative consequences, and the possible role of non visible arousals, are also discussed. In UARS, because of the absence of apnea/hypopnea and significative O2 desaturations, arousals are induced by the increased respiratory effort. Diagnosis needs the simultaneous recording of polysomnography and esophageal pressure. Some symptoms and signs of UARS are similar to those of Obstructive Sleep Apnea Syndrome. However, UARS shows any differences: a lower Body Mass Index, less constant snoring, males and females are similarly affected or higher frequency of craniofacial abnormalities. Diagnostic difficulties may be due to confusion between hypopneas and episodes of increased resistance of upper airway, or to the lack of definitive diagnostic criteria. Finally, differential diagnosis needs a broad knowledge of disorders of excessive daytime sleepiness.

Body Mass Index↗