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The association between sleepiness and cognitive dysfunction and brain micro-morphological change in obstructive sleep apnea syndrome

Research Project

Project/Area Number 23791374
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Psychiatric science
Research InstitutionNeuropsychiatric Research Institute

Principal Investigator

NAKAMURA Masaki  公益財団法人神経研究所, 研究部, 研究員 (70375054)

Project Period (FY) 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2012: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2011: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords精神生理学 / 重度閉塞性睡眠時無呼吸症候群 / voxel-based morphometory / diffusion tensor imaging / 間欠的低酸素状態 / 高次脳機能障害 / 閉塞性睡眠時無呼吸症候群 / 視覚性抹消課題 / 数字符号照合検査 / 記憶更新検査 / 位置ストループ課題 / MRI
Research Abstract

We measured cognitive and emotional impairment of the patients suffered severe obstructive sleep apnea syndrome(sOSAS), and investigated the correlation between these cognitive and emotional impairment and respiratory index during sleep. Additionally, we applied the voxel-based statistic approach by SPM8-regression for FA/ADC maps and gray/white matter images to estimate the correlation between brain microstructural changes of sOSAS and respiratory index during sleep. As a results, subjective daytime sleepiness was only associated with motivation and only lowest SpO2 affected on cognitive impairment. In imaging study, lowest SpO2 showed positive correlation with medial and inferior frontal area where are important for higher cognitive function and brain-stem containing many nuclei for arousal maintaining function in FA/ADC maps and white matter image. The gray matter concentration in parahippocampal area was also affected positive correlation with lowest SpO2. As a conclusion, lower SpO2 (hypoxia invasion) might cause the cognitive impairment and this impairment would be caused by neural axonal microstructural changes by hypoxia invasion.

Report

(3 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Research-status Report
  • Research Products

    (7 results)

All 2013 2012 2011

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (5 results)

  • [Journal Article] Is nocturnal panic a distinct disease category? Comparison of clinical characteristics among patients with primary nocturnal panic, daytime panic, and coexistence of nocturnal and daytime panic.2013

    • Author(s)
      Nakamura M, Sugiura T, Nishida S, Komada Y, Inoue Y
    • Journal Title

      J Clin Sleep Med

      Volume: 9巻 Pages: 461-467

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Is nocturnal panic a distinct disease category? -Comparison of clinical characteristics among patients with primary nocturnal panic, daytime panic, and coexistence of nocturnal and daytime panic.2013

    • Author(s)
      Nakamura M
    • Journal Title

      J Clin Sleep Med.

      Volume: 9 Issue: 05 Pages: 461-467

    • DOI

      10.5664/jcsm.2666

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Presentation] 重度閉塞性睡眠時無呼吸症候群の注意・意欲障害2012

    • Author(s)
      中村真樹、望月芳子、浅岡章一、西田慎吾、伊藤永喜、高江洲義和、植木洋一郎、林田健一、井上雄一
    • Organizer
      第37回日本睡眠学会
    • Place of Presentation
      東京
    • Related Report
      2012 Final Research Report
  • [Presentation] 日本人男性における睡眠時無呼吸患者の予測に有効な身体的所見は何か2012

    • Author(s)
      小林美奈、難波一義、西田慎吾、伊藤永喜、中村真樹、對木悟、井上雄一
    • Organizer
      第37回日本睡眠学会
    • Place of Presentation
      東京
    • Related Report
      2012 Final Research Report
  • [Presentation] 重度閉塞性睡眠時無呼吸症候群の注意・意欲障害2012

    • Author(s)
      中村真樹
    • Organizer
      第37回日本睡眠学会
    • Place of Presentation
      パシフィコ横浜
    • Related Report
      2012 Annual Research Report
  • [Presentation] The brain microstractural abnormalities in narcolepsy those cause daytime sleepiness and cataplexy2011

    • Author(s)
      Nakamura M, Nishida S, Ueki Y, Hayashida K, Inoue Y
    • Organizer
      World Sleep 2011
    • Place of Presentation
      Kyoto
    • Related Report
      2012 Final Research Report
  • [Presentation] The neuroimaging study on narcolepsy -The brain morphological difference between narcolepsy with cataplexy and narcolepsy without cataplexy-2011

    • Author(s)
      Nakamura M, Inoue Y
    • Organizer
      Sleep Research Academy in Kyoto 2011
    • Place of Presentation
      Kyoto
    • Related Report
      2012 Final Research Report

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Published: 2011-08-05   Modified: 2019-07-29  

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