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Sleep Disturbances
Difficulties with sleep are common in Parkinson's disease, and can be categorized into four types:
- Difficulty staying asleep; early morning awakening
- Involuntary movements and pain interrupting sleep
- Frequent nighttime urination
- Vivid dreams, nighttime agitation and hallucinations
Graphic difficulty maintaining night time sleep is probably the most common sleep complaint in PD. Normal sleep is organized into stages, and an individual usually cycles through the various stages of sleep in a set order and time pattern. In Parkinson's disease the normal sleep cycles are frequently interrupted. Patients typically complain of difficulties staying asleep despite having little trouble falling asleep initially. In fact, many people complain that they fall asleep "too early" (7-8 p.m.) and then awaken at 3-4 a.m., unable to resume sleep. In addition, many people with PD will awaken several times throughout the night, although they may have no recollection of these events. Spouses may be more aware of the disrupted sleep than the patient. This disruption of normal sleep patterns may contribute to the daytime sleepiness often reported by Parkinson patients.
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