AUTHOR=Yan Mingyue , Fan Jingqi , Li Yingjia , Liu Xin , Yu Zhengmiao , Zhuang Lixing 

TITLE=Electro-acupuncture on Vascular Parkinsonism with multiple sleep disorders: A Case Report

JOURNAL=Frontiers in Neurology

VOLUME=Volume 13 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.1057095

DOI=10.3389/fneur.2022.1057095

ISSN=1664-2295

ABSTRACT=Vascular parkinsonism (VP) is a kind of rare secondary parkinsonism caused by vascular lesions. VP patients experience not only movement disorders but also sleep disorders. But treatment options are limited and often associated with undesirable adverse effects.  Electro-acupuncture (EA) is a safe, rapid-work, easy operation and convenient complementary replacement therapy. We report  a case of a 51-year-old man who presented with VP and multiple sleep disorders. Based on clinical evaluation and nocturnal hospital-based polysomnography((PSG), the patient had severe PLMD (PSG showed severe periodic leg movements), excessive daytime sleepiness (EDS, the score of the ESS is 16), and probable rapid eye movement sleep disorder (RBD). Parkinson’s disease sleep scale(PDSS) score, Pittsburgh sleep quality index(PSQI) and periodic leg movements index were 93,11 and135.2. After 8 weeks of EA treatment, the patient reported that subjective and objective sleep disturbance symptoms were significantly alleviated without any discomfort. This case report may provide a new non-pharmacological and complementary therapy for VP patients with sleep disturbance, but more definite and compelling evidence is required to support its efficacy.