Wednesday, March 17, 2010

Sleep Characteristics in Patients with CFS

'A Retrospective Review of the Sleep Characteristics in Patients with
Chronic Fatigue Syndrome and Fibromyalgia'

Spitzer AR, Broadman M.
Wayne State University School of Medicine, Detroit, Michigan.
Pain Pract. 2010 Mar 2. [Epub ahead of print]


This study characterizes findings on sleep testing and Human Leukocyte
Antigen (HLA) markers in a group of patients with fibromyalgia (FM)
and chronic fatigue syndrome (CFS). One hundred eighteen patients seen
in a general neurology practice over 5 years meeting standard clinical
criteria for FM or CFS were analyzed retrospectively. Cases of
untreated sleep apnea or restless legs syndrome were excluded prior to
inclusion in this study. Ninety-two patients had multiple sleep
latency testing (MSLT). Seventy-three (80%) were abnormal by standard
criteria. Of 57 females having positive MSLTs, 22 (39%) had one or
more periods of sleep onset rapid eye movement (SOREM), and 5 of 16
(31%) males with positive MSLTs had one or more SOREM. Highly
fragmented sleep, as previously described in FM, was seen but not
analyzed quantitatively. HLA DQB1*0602 was obtained in 74 patients,
and positive in 32 (43%), P < 0.0001 compared with published values in
228 populations. In our patients, who presented with neuromuscular
fatigue or generalized pain, we found a sleep disorder characterized
by objective hypersomnia. Some patients had characteristics of
narcolepsy. Objective assessment by sleep studies can assist the
diagnostic process, aid future research, and provide rationale for

* * *
I was reporting that I slept only 2 hours a night.  Unbeknownst to me, the doctors were writing down that because I spent 20 hours a day in bed, I spent all 20 hours sleeping, and therefore did not need a sleeping pill.
Had they ordered a sleep study, they would have found out why I was constantly exhausted.  Oh, wait ... if they'd ordered a sleep study, they would have found out WHY I was constantly exhausted, and could no longer attribute it to depression.  They might have had to admit I was right and they were wrong.


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