{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:56:29Z","timestamp":1782867389446,"version":"3.54.5"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Post-stroke sleep disorders (PSSD) are under-reported and under-treated, despite their impact on recovery, quality of life, and post-stroke depression. Although polysomnography (PSG) is the gold standard for diagnosis, its limited availability leads to underdiagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess the prevalence of PSSD based on patient- and caregiver-reported data, and to evaluate their concordance with findings from overnight PSG in post-stroke patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross-sectional study, adult patients (aged \u226518 years) with ischemic or hemorrhagic stroke (1 month to 1 year post-onset) were assessed. Sleep-related history was obtained from patients and caregivers. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), risk of obstructive sleep apnea (OSA) was assessed with the STOP-BANG questionnaire, and depression and anxiety were evaluated with the Hamilton Depression Rating Scale (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A), respectively. Stroke severity and outcomes were evaluated using the modified Rankin Scale (mRS) and Stroke-Specific Quality of Life Scale (SS-QoL). A subset underwent overnight PSG using a 14-channel SOMNOmedics system, analyzed per American Academy of Sleep Medicine (AASM) criteria. The Apnea-Hypopnea Index (AHI) was used to quantify sleep-disordered breathing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 103 enrolled patients, 41 (39.8%) underwent PSG. While only 23.3% (<jats:italic>n<\/jats:italic>=24) of patients and 11.7% (<jats:italic>n<\/jats:italic>=12) of caregivers independently reported sleep disturbances after stroke, specific questioning increased detection to 62%. PSG revealed obstructive sleep apnea (OSA) in 62% of those denying sleep issues and in 100% of those self-reporting problems. Periodic limb movement disorder in sleep (PLMS) was present in 34.5% of asymptomatic individuals. Higher STOP-BANG scores and longer stroke duration were seen in the PSG group. Wakefulness after sleep onset (WASO) &amp;gt;120 minutes was more common in patients with PSQI &amp;gt;5. AHI &amp;gt;5 was present in 65.8%, but not associated with any demographic, clinical, or questionnaire-based variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is poor correlation between self\/caregiver-reported sleep problems and PSG-confirmed diagnoses in post-stroke patients. Proactive screening using structured questionnaires and PSG (or alternatives such as actigraphy) is essential in resource-limited settings to detect and treat sleep disorders that may impact recovery.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2025.1587378","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T05:34:43Z","timestamp":1752644083000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Polysomnographic correlates of self-and caregiver-reported sleep problems in post-stroke patients"],"prefix":"10.3389","volume":"16","author":[{"given":"Kamalesh","family":"Tayade","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepti","family":"Vibha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh Kumar","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awadh Kishor","family":"Pandit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhargavi","family":"Ramanujam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Animesh","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arunmozhimaran","family":"Elavarasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayush","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achal 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