렘수면 중 발작과 유사한 움직임을 보인, 심한 폐쇄성 수면무호흡으로 인한 가성렘수면행동장애로 진단된 증례
A Case of Seizure Like Movement During Rapid Eye Movement Sleep Diagnosed With Pseudo-Rapid Eye Movement Sleep Behavior Disorder Associated With Severe Obstructive Sleep Apnea
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초록
Rapid eye movement (REM) sleep behavior disorder (RBD) is characterized by complex motor behaviors and REM without atonia. RBD shows diverse clinical manifestations, ranging from typical violent dreamenacting behaviors to relatively subtle limb movements. Sleep disorders such as obstructive sleep apnea (OSA) and nocturnal seizure that mimic RBD symptoms are referred to as pseudo-RBD. We describe a patient who showed an atypical clinical presentation of pseudo-RBD associated with severe OSA. Polysomnography with a full 10–20 electroencephalography montage was useful for accurate diagnosis.
Abstract
Rapid eye movement (REM) sleep behavior disorder (RBD) is characterized by complex motor behaviors and REM without atonia. RBD shows diverse clinical manifestations, ranging from typical violent dreamenacting behaviors to relatively subtle limb movements. Sleep disorders such as obstructive sleep apnea (OSA) and nocturnal seizure that mimic RBD symptoms are referred to as pseudo-RBD. We describe a patient who showed an atypical clinical presentation of pseudo-RBD associated with severe OSA. Polysomnography with a full 10–20 electroencephalography montage was useful for accurate diagnosis.
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