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Schlafstörungen

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Neurogeriatrie

Zusammenfassung

Schlafstörungen sind häufige Beschwerden älterer Menschen. Die Therapie geriatrischer Patienten sollte sich anhand einer differenzierten Erhebung der nächtlichen Probleme an den spezifischen Schlafstörungen orientieren. Hier stehen vor allem Einschlafstörungen (Insomnie), Durchschlafstörungen und Störungen der Tagesrhythmik im Vordergrund, gefolgt von den Symptomen eines Restless-Legs-Syndroms, das häufig bei über 65-Jährigen und bei zunehmenden Komorbiditäten auftritt. Bei einer Tagesschläfrigkeit, oft bedingt durch ein obstruktives Schlaf-Apnoe-Syndrom, muss ggf. mit einer CPAP-Therapie behandelt werden. Eine allgemeine abendliche oder nächtliche Unruhe geriatrischer Patienten (häufig bei Patienten mit Demenz) sollte von Schlafstörungen und Störungen der Tagesrhythmik abgegrenzt werden, da die Behandlung unterschiedlich ist. Eine differenzierte Betrachtung nächtlicher Störungen in der Neurogeriatrie ist deshalb essentielle Voraussetzung jeglicher psychopharmakologischer Therapie.

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Authors and Affiliations

  1. Paracelsus-Elena Klinik, Zentrum für Parkinson-Syndrome und Bewegungsstörungen, Kassel, Deutschland

    Claudia Trenkwalder & Friederike Sixel-Döring

  2. Klinik für Klinische Neurophysiologie, Universitätsmedizin Göttingen, Göttingen, Deutschland

    Michael Bartl

Authors
  1. Claudia Trenkwalder
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  2. Michael Bartl
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  3. Friederike Sixel-Döring
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Corresponding author

Correspondence to Claudia Trenkwalder .

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Editors and Affiliations

  1. Klinik für Neurologie, UKSH, Campus Kiel, Kiel, Germany

    Walter Maetzler

  2. Lehrstuhl für Geriatrie, Universitätsklinikum Essen, Geriatriezentrum Haus Berge, Contilia Group, Essen, Germany

    Richard Dodel

  3. Klinik für Geriatrie mit Neurologie, Johanniter Krankenhaus Bonn, Bonn, Germany

    Andreas H. Jacobs

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Trenkwalder, C., Bartl, M., Sixel-Döring, F. (2019). Schlafstörungen. In: Maetzler, W., Dodel, R., Jacobs, A. (eds) Neurogeriatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57358-7_15

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  • DOI: https://doi.org/10.1007/978-3-662-57358-7_15

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