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젊은 나이에 발생한 렘수면행동장애와 정량적 분석을 통한 진단적 접근

Idiopathic REM Sleep Behavior Disorder in Young Adults and Quantitative Analysis of Polysomnography

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초록

Rapid eye movement sleep behavior disorder (RBD) is a sleep disorder characterized by loss of muscle atonia during REM sleep associated with dream enactment, which usually start at the age of older than 50. RBD in elders are known to be developing symptoms of neurodegenerative disorders in the course of disease. However, the pathophysiology and prognosis of “early-onset” idiopathic RBD is unclear. Several existing standard value about REM sleep without atonia (RSWA) of RBD patients was established with “late-onset” RBD for those diagnosed at age 50 and greater, RSWA metrics in “early-onset” RBD patients diagnosed prior to age 50 years have not been previously described. Therefore, we report here two patients who were diagnosed as “early-onset” idiopathic RBD, and performed quantitative RSWA scoring. We suggested that “early-onset” idiopathic RBD has different etiologies the various characteristics of RSWA than adults with RBD.

Abstract

Rapid eye movement sleep behavior disorder (RBD) is a sleep disorder characterized by loss of muscle atonia during REM sleep associated with dream enactment, which usually start at the age of older than 50. RBD in elders are known to be developing symptoms of neurodegenerative disorders in the course of disease. However, the pathophysiology and prognosis of “early-onset” idiopathic RBD is unclear. Several existing standard value about REM sleep without atonia (RSWA) of RBD patients was established with “late-onset” RBD for those diagnosed at age 50 and greater, RSWA metrics in “early-onset” RBD patients diagnosed prior to age 50 years have not been previously described. Therefore, we report here two patients who were diagnosed as “early-onset” idiopathic RBD, and performed quantitative RSWA scoring. We suggested that “early-onset” idiopathic RBD has different etiologies the various characteristics of RSWA than adults with RBD.

참고문헌 (10)

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  7. Khalil A, "Loss of rapid eye movement sleep atonia in patients with REM sleep behavioral disorder, narcolepsy, and isolated loss of REM atonia", J Clin Sleep Med, 9, pp.1039~1048 (2013)
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  10. Schenck CH, "Delayed emergence of a parkinsonian disorder or dementia in 81% of older men initially diagnosed with idiopathic rapid eye movement sleep behavior disorder: a 16-year update on a previously reported series", Sleep Med, 14, pp.744~748 (2013)

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