Sleep-Related Head Jerk Presenting With Dream Enactment Behavior: A Case Report
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초록
Sleep-related head jerk (SRHJ) is conceived as a physiological motor phenomenon, which is mostly seen during rapid eye movement (REM) sleep. It should be distinguished from movements during REM sleep, mainly REM sleep behavior disorder (RBD). A 25-year-old male complained of daytime sleepiness with snoring and dream enactment behavior (DEB). Video polysomnography (PSG) excluded RBD and obstructive sleep apnea; frequent SRHJs during REM sleep with or without respiratory effort-related arousals, and SRHJs followed by one episode of DEB was observed. On PSG with continuous positive airway pressure titration, SRHJ with arousal events still remained but DEB symptom was resolved. REM without atonia unrelated to head jerks was not observed on all PSG data. Excessive SRHJs with arousal related to a sleep disturbance could indicate an SRHJ disorder, which might be a novel sleep-related movement disorder. In addition, clinicians should be careful in diagnosing young patients with RBD.
Abstract
Sleep-related head jerk (SRHJ) is conceived as a physiological motor phenomenon, which is mostly seen during rapid eye movement (REM) sleep. It should be distinguished from movements during REM sleep, mainly REM sleep behavior disorder (RBD). A 25-year-old male complained of daytime sleepiness with snoring and dream enactment behavior (DEB). Video polysomnography (PSG) excluded RBD and obstructive sleep apnea; frequent SRHJs during REM sleep with or without respiratory effort-related arousals, and SRHJs followed by one episode of DEB was observed. On PSG with continuous positive airway pressure titration, SRHJ with arousal events still remained but DEB symptom was resolved. REM without atonia unrelated to head jerks was not observed on all PSG data. Excessive SRHJs with arousal related to a sleep disturbance could indicate an SRHJ disorder, which might be a novel sleep-related movement disorder. In addition, clinicians should be careful in diagnosing young patients with RBD.
참고문헌 (10)
- Frauscher B, "A descriptive analysis of neck myoclonus during routine polysomnography", Sleep, 33, pp.1091~1096 (2010)[DOI]
- Stefani A, "Diagnostic criteria, differential diagnosis, and treatment of minor motor activity and less well-known movement disorders of sleep", Curr Treat Options Neurol, 21, pp.1~ (2019)[DOI]
- Wolfensberger B, "From physiological neck myoclonus to sleep related head jerk", J Sleep Res, 28, pp.e12831~ (2019)[DOI]
- Lopez R, "Sleep-related head jerks : toward a new movement disorder", Sleep, 44, pp.zsaa165~ (2021)[DOI]
- American Academy of Sleep Medicine, "The International Classification of Sleep Disorders (ICSD-3)" (2014), American Academy of Sleep Medicine
- Cesari M, "Video-polysomnography procedures for diagnosis of rapid eye movement sleep behavior disorder(RBD)and the identification of its prodromal stages : guidelines from the international RBD study group", Sleep, 45, pp.zsab257~ (2022)[DOI]
- Hu G, "Electroclinical features of sleep-related head jerk", Nat Sci Sleep, 13, pp.2113~2123 (2021)[DOI]
- Lim JA, "Head jerks during sleep in a patient with obstructive sleep apnea", Sleep Med, 57, pp.141~143 (2019)[DOI]
- Lee WJ, "Isolated rapid eye movement sleep behavior disorder combined with obstructive sleep apnea : response to treatment and its associated factors", Sleep Med, 91, pp.75~83 (2022)[DOI]
- Lopez R, "Impaired glycinergic transmission in hyperekplexia : a model of parasomnia overlap disorder", Ann Clin Transl Neurol, 6, pp.1900~1904 (2019)[DOI]