Neurodegenerative diseases (ND), such as Parkinson's disease (PD) and Alzheimer's disease (AD), are characterized by progressive neuronal loss and degeneration, leading to both motor and non-motor symptoms, including sleep disturbances. Sleep disorders are highly prevalent in PD, affecting between 60% and 98% of patients. These include insomnia, excessive daytime sleepiness (EDS), sleep-disordered breathing, obstructive sleep apnea (OSA), restless legs syndrome (RLS), circadian rhythm disorders, and REM sleep behavior disorder (RBD). This article provides a comprehensive literature review on the pathophysiology, diagnosis, and management of sleep disorders in patients with PD. We highlight the significant impact these disturbances have on quality of life and emphasize the importance of regular screening and individualized treatment plans. Additionally, we discuss the challenges posed by non-motor symptoms in PD, particularly those related to sleep, as they often do not respond well to traditional dopaminergic therapies. Future research should aim to enhance diagnostic techniques and develop more targeted, patient-centered interventions to improve the management of sleep disorders in PD.
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Lara Oliveira da Nóbrega ,
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Aline Moreira Lócio,
Fairane Sousa Duarte,
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Victor Monteiro Mororó,
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Amanda Rebouças Bezerra de Menezes ,
Rafaella Iughetti da Costa,
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Yuri Borges Morais,
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Beyond behavioral changes in semantic dementia: principal hurdles on the road to the clinic
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Brazilian Journal of Clinical Medicine and Review: Vol. 1 No. 3 (2023): July/September - 2023