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RBD is a sleep disorder characterized by the loss of normal skeletal muscle atonia during REM sleep and is associated with prominent motor activity and vivid dreaming. [6] [2] These dreams often involve screaming, shouting, laughing, crying, arm flailing, kicking, punching, choking, and jumping out of bed.
The REM Sleep Behavior Disorder Screening Questionnaire (RBDSQ) is a specific questionnaire for rapid eye movement behavior disorder (RBD) developed by Stiasny-Kolster and team, [1] to assess the most prominent clinical features of RBD. [2] It is a 10-item, patient self-rating instrument with short questions to be answered by either 'yes' or ...
Other screening tools for RBD are lengthy and difficult to use for epidemiological studies, needed to determine the prevalence of RBD. [1]Participants for a case-control study were recruited from twelve centers of the International REM Sleep Behavior Disorder Study Group between 2008 and 2011. [1]
In the UK, knowledge of sleep medicine and possibilities for diagnosis and treatment seem to lag. The Imperial College Healthcare [61] shows attention to obstructive sleep apnea syndrome (OSA) and very few other sleep disorders. Some NHS trusts have specialist clinics for respiratory and neurological sleep medicine.
[1] [35] The variant sleep-related eating disorders is chronic, without remission, but treatable. [35] REM sleep behavior disorder (RBD) can mostly be handled well with the use of melatonin or clonazepam. [25] [35] However, there is high comorbidity with neurodegenerative disorders, that is in up to 93% of cases. [35]
REM sleep is decreased during the first half of the sleep period and stage 1 sleep is increased in the second half of the sleep period. [5] Most antidepressants, in particular selective serotonin re-uptake inhibitors (SSRIs), such as citalopram and paroxetine, are potent inhibitors of REM sleep and may also cause a REM rebound on discontinuation.
Narcolepsy is a chronic neurological disorder that impairs the ability to regulate sleep–wake cycles, and specifically impacts REM (rapid eye movement) sleep. [1] The pentad symptoms of narcolepsy include excessive daytime sleepiness (EDS), sleep-related hallucinations, sleep paralysis, disturbed nocturnal sleep (DNS), and cataplexy. [1]
Night terror, also called sleep terror, is a sleep disorder causing feelings of panic or dread and typically occurring during the first hours of stage 3–4 non-rapid eye movement (NREM) sleep [1] and lasting for 1 to 10 minutes. [2]