transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/23114495-2022-9-6-44-58transmed-729Research ArticleЛУЧЕВАЯ ДИАГНОСТИКА И ТЕРАПИЯМетоды лучевой диагностики нарушений сна у пациентов с острым ишемическим инсультомRadiologic imaging of sleep disorders in patients with acute ischemic strokehttps://orcid.org/0000-0003-0613-7385БоршевецкаяА. А.BorshevetskayaA. A.

Боршевецкая Анастасия Александровна, ординатор 2 года по специальности «Рентгенология»

ул. Аккуратова, д. 2, Санкт-Петербург, Россия, 197341

Anastasia A. Borshevetskaya, resident, Radiology and Medical Visualization Department

Akkuratova str., 2, Saint Petersburg, 197341  

borshevetskaya@gmail.comhttps://orcid.org/0000-0001-6198-8583ТрушинаЛ. И.TrushinaL. I.

Трушина Лидия Игоревна, аспирант, кафедра лучевой диагностики и медицинской визуализации Института медицинского образования

Санкт-Петербург

Lidiia I. Trushina, postgraduate student, Radiology and Medical Visualization Department

Saint Petersburg

lidabondarenko@yandex.ruhttps://orcid.org/0000-0003-2249-1405ЕфимцевА. Ю.EfimtsevA. Yu.

Ефимцев Александр Юрьевич, д.м.н., доцент кафедры лучевой диагностики и медицинской визуализации Института медицинского образования, ведущий научный сотрудник НИЛ лучевой визуализации

Санкт-Петербург

Aleksandr Yu. Efimtsev, PhD, Associate Professor, Radiology and Medical Visualization Department, leading researcher, Radiation Diagnostics Research Laboratory

Saint Petersburg

atralf@mail.ruhttps://orcid.org/0000-0002-0074-4021ТерновыхИ. К.TernovykhI. K.

Терновых Иван Константинович, аспирант, ассистент кафедры неврологии и психиатрии с клиникой, лаборант-исследователь НИЛ неврологии и нейрореабилитации

Санкт-Петербург

Ivan K. Ternovykh, Postgraduate Student, Assistant, Department of Neurology and Psychiatry with clinic, Assistant Researcher, Research Department of Neurology and Neurorehabilitation

Saint Petersburg

ternovykh_ik@almazovcentre.ruhttps://orcid.org/0000-0001-5607-8550ГаляутдиноваЛ. Э.GalyautdinovaL. E.

Галяутдинова Лина Эриковна, ординатор 2 года по специальности «Рентгенология»

Санкт-Петербург

Lina E. Galyautdinova, resident, Radiology and Medical Visualization Department

Saint Petersburg

Lina_erikovna@mail.ruhttps://orcid.org/0000-0001-8798-7757ЕгороваВ. С.YerogovaV. S.

Егорова Вероника Сергеевна, ординатор 2 года по специальности «Рентгенология»

Санкт-Петербург

Veronika S. Yerogova, resident, Radiology and Medical Visualization Department

Saint Petersburg

ve.egorova97@gmail.comhttps://orcid.org/0000-0002-4441-1165АлексееваТ. М.AlekseevaT. M.

Алексеева Татьяна Михайловна, д.м.н., доцент, заведующий кафедрой неврологии и психиатрии, главный научный сотрудник НИЛ неврологии и нейрореабилитации

Санкт-Петербург

Tat’yana M. Alekseeva, MD, PhD, DSc, Associate Professor, Head of Department of Neurology and Psychiatry, Main Researcher, Research Department of Neurology and Neurorehabilitation

Saint Petersburg

alekseeva_tm@almazovcentre.ruhttps://orcid.org/0000-0002-1611-5000ТруфановГ. Е.TrufanovG. E.

Труфанов Геннадий Евгеньевич, д.м.н., профессор, главный научный сотрудник НИО лучевой диагностики, заведующий кафедрой лучевой диагностики и медицинской визуализации Института медицинского образования

Санкт-Петербург

Gennadiy E. Trufanov, MD, PhD, professor, chief researcher, Radiology and Medical Visualization Department, Head of Radiology and Medical Visualization Department

Saint Petersburg

trufanovge@mail.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation202202032023964458Copyright © Боршевецкая А.А., Трушина Л.И., Ефимцев А.Ю., Терновых И.К., Галяутдинова Л.Э., Егорова В.С., Алексеева Т.М., Труфанов Г.Е., 20232023Боршевецкая А.А., Трушина Л.И., Ефимцев А.Ю., Терновых И.К., Галяутдинова Л.Э., Егорова В.С., Алексеева Т.М., Труфанов Г.Е.Borshevetskaya A.A., Trushina L.I., Efimtsev A.Y., Ternovykh I.K., Galyautdinova L.E., Yerogova V.S., Alekseeva T.M., Trufanov G.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/729

Сон — это важный и сложный физиологический процесс, который необходим для нормального функционирования любого организма. Диагностика нарушений сна является актуальным вопросом при ведении пациентов с острым ишемическим инсультом. В настоящее время нарушения сна рассматриваются не только как последствия ишемического инсульта, но и как фактор риска возникновения острой церебральной патологии. Нарушения сна при ОНМК могут быть представлены различными формами: инсомния, нарушения дыхания во сне, гиперсомнии центрального происхождения, нарушения циркадного ритма сна и бодрствования, парасомнии, нарушения движений во сне, нарушение сна неуточненное или связанное с факторами окружающей среды, соматические и неврологические расстройства, связанные со сном.

Публикаций в отечественной и зарубежной литературе на тему нарушений сна при остром ишемическом инсульте крайне мало, хотя диагностика данных патологий по отдельности занимает весомую нишу.

Золотым стандартом диагностики различных форм нарушений сна является полисомнография. В то время как для точной диагностики острого нарушения мозгового кровообращения необходимы высокотехнологичные методы, такие как компьютерная (КТ) и магнитно-резонансная томография (МРТ), в том числе и при различных формах нарушений сна.

В данной статье приведен обзор имеющейся на данном этапе литературы о методах лучевой визуализации в диагностике различных форм нарушений сна у пациентов с острым ишемическим инсультом.

Sleep is an important and complex physiological process that is necessary for the normal functioning of any organism. Sleep disorders diagnostics is an issue of interest in patients with acute ischemic stroke management. Currently these disorders are considered not only as a consequence of earlier stroke but as an acute cerebrovascular disease risk factor itself. Sleep disorders in patients with acute cerebrovascular disease can be presented in different types, including: insomnia, sleep apnea, central disorders of hypersomnolence, circadian rhythm sleep-wake disorders, parasomnias, sleep related movement disorders, unspecified sleep related disorders.

There are very few publications on the subject of sleep disorders associated with acute ischemic stroke, despite the fact that imaging of each of these conditions separately occupies a significant place in radiology.

Polysomnography is considered to be the gold standard in sleep disorders diagnostics. Contrary to that, the precise imaging of acute cerebrovascular accidents requires high-technology modalities, such as computed tomography (CT) and magnetic resonance imaging (MRI).

The article represents a current literature review regarding radiologic methods in diagnostics of sleep disorders in patients with acute ischemic stroke anamnesis.

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The authors declare that there are no conflicts of interest present.