کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3178119 1200327 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Circadian rhythm sleep disorders in the blind and their treatment with melatonin
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Circadian rhythm sleep disorders in the blind and their treatment with melatonin
چکیده انگلیسی

People who are blind, in addition to having to cope with partial or no sight, have an added handicap; the transmission of ocular light from the retina to their circadian clock is impaired. At its worse, for example in people with both eyes enucleated, this lesion results in desynchronisation of the biological clock (located in the hypothalamic suprachiasmatic nuclei) from the 24 h day/night environment. While in a desynchronised state, symptoms akin to jet lag are experienced (e.g., daytime sleepiness, poor night sleep, reduced alertness and performance during waking). This is a lifelong condition. Daily administration of exogenous melatonin is the current treatment of choice for this so-called “non-24 h sleep/wake disorder”. Melatonin has been shown to correct the underlying circadian rhythm abnormality as well as improve sleep and reduce daytime napping. The effectiveness of melatonin therapy depends upon its time of administration relative to the timing of the person’s circadian clock. If practicable, assessment of an individual’s circadian phase (by measurement of the endogenous melatonin rhythm in plasma, saliva or urine) is recommended prior to commencing treatment to optimise melatonin’s effectiveness.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Sleep Medicine - Volume 8, Issue 6, September 2007, Pages 651–655
نویسندگان
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