Lorenzo Spampinato
Impaired Slow Wave Activity and Signal Complexity during NREM Sleep in Levodopa-Induced Dyskinesias.
Rel. Valentina Agostini, Francesca Dalia Faraci, Luigi Fiorillo. Politecnico di Torino, Corso di laurea magistrale in Ingegneria Biomedica, 2025
Abstract
Sleep disturbances are common in Parkinson’s disease (PD) and often emerge early, suggesting that sleep may be a potential modulator of the clinical manifestations of the disease. While levodopa effectively treats motor symptoms, high-dose use can cause motor fluctuations and levodopa-induced dyskinesias (LID). This study investigates whether dyskinetic (DYS) patients differ from non-DYS PD patients and healthy controls in terms of slow-wave activity and brain signal complexity - key markers of sleep homeostasis and neural information processing. The analysis focused on the deepest stage N3 of non-REM sleep, which is considered crucial for the restoration of synaptic balance according to the synaptic homeostasis hypothesis.
In order to examine the temporal dynamics of this restorative process, two distinct periods of the night were selected for comparison: the early sleep phase and the late sleep phase
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