title: Incidence and types of sleep disorders in patients with stroke.
abstract: BACKGROUND
  Sleep disorders (SD) after stroke (stroke) are common occurrences, and most often in sleep apnea, insomnia and daytime sleepiness. GOALS. Research goals were to determine the types of SD and their frequency in patients with stroke in relation to the type of stroke and side of lesion.
  
  
  METHODS
  The study analyzed 200 patients with acute stroke hospitalized in the Clinic of Neurology, University Clinical Centre Tuzla in the period from 1st August 2007 to 1st June 2008. All patients have confirmed the existence of stroke by computerized tomography. SD was verified according to the General Curriculum of sleep, the Berlin questionnaire and Epvort scale. Stroke, by type, were divided into hemorrhagic and ischemic, and the localization of the stroke to right and left cerebral hemispheres.
  
  
  RESULTS
  Of the total number of respondents, 78% had SD. Very serious level of SD had 42% of respondents, 20% moderate, and 16% of medium-severe degree. There was no statistically significant differences in the frequency of SD among patients with ischemic and hemorrhagic stroke (76.8%: 82.5%, p = 0.58). In relation to the side of lesion there was more patient with SD and stroke in the right cerebral hemisphere, but there were no statistically significant differences (39.5%: 33%, p = 0.1). According Epvort scale sleep apnea and snoring was present in 86%, daytime sleepiness in 49.5% and narcolepsy 0.5%.
  
  
  CONCLUSIONS
  Sleep disturbance as a neuropsychological disorder has a significant incidence in the acute phase of stroke. SD is slightly more common in hemorrhagic stroke and stroke in the right hemisphere. Sleep Apnea and snoring are the most common types of SD in patients with stroke.
authors.affiliation: Neurology Clinic, University Clinical Centre Tuzla, Faculty of Medicine, University in Tuzla, Tuzla, Bosnia and Herzegovina. nuraga.p@bih.net.ba
authors.forename: Zejneba
authors.initials: Z
authors.lastname: Pasic
authors.forename: Dzevdet
authors.initials: D
authors.lastname: Smajlovic
authors.forename: Zikrija
authors.initials: Z
authors.lastname: Dostovic
authors.forename: Biljana
authors.initials: B
authors.lastname: Kojic
authors.forename: Senada
authors.initials: S
authors.lastname: Selmanovic
mesh_terms: D002545:Brain Ischemia / Q000150:complications; D002543:Cerebral Hemorrhage / Q000150:complications; D006801:Humans; D012893:Sleep Wake Disorders / Q000209:etiology*; D020521:Stroke / Q000150:complications*; D011795:Surveys and Questionnaires