REM Sleep Behavior Disorder

Paper Summary:

This paper presents an overview of rapid eye movement (REM) sleep behavior disorder (RBD). The paper first explains that RBD causes abnormal motor behavior during REM sleep, mainly affects older males and can be associated with neurodegenerative diseases. The paper also looks at treatment options and presents a case study. The paper points out that current limitations with studies on RBD prevent us from knowing all we can about RBD and treatment options.

Outline:
RBD Background
Associations with Neurodegenerative Diseases
Treatment Options
Case Study
Conclusion

From the Paper:

"REM sleep behavior disorder, a parasomnia is illustrated by the irregular loss of normal skeletal muscle atonia during REM sleep and is accompanied by complex motor activity while dreaming (Ferini-Strambi, Fantini, Zucconi, Castronovo, Marelli, Oldani, & Cappa, 2005). The loss of REM sleep atonia has been associated with the loss of the inhibition of motor activity that normally is controlled by pontine centers (Mazza, Saucy, Gravel, Michaud, Postuma, Massicotte-Marquez, Decary, & Montplasir, 2006). Behavior release during REM needs the disinhibition of brainstem motor pattern generators, therefore resulting in over-excitation of phasic motor activity; this supplies an anatomic foundation for REM behavior disorder (Mazza et al., 2006)"

Sample of Sources Used:

• Fantini, M.L., & Ferini-Strambi. (2007). Idiopathic rapid eye movement sleep behaviour disorder. Neurological Sciences, 28, 15-20.
• Ferini-Strambi, L., Fantini, M.L., Zucconi, M., Castronovo, V., Marelli, S., Oldani, A., & Cappa, S. (2005). REM sleep behaviour disorder. Neurological Sciences, 26, 186-192.
• Lugaresi, E., & Provini, E. (2005). Sleep and movement disorders. Neurological Sciences, 26, 173-175.
• Manni, R., & Terzaghi, M. (2005). REM behavior disorder associated with epileptic seizures. Neurology, 64, 883-884.
• Manni, R., Terzaghi, M., & Zambrelli, E. (2006). REM sleep behaviour disorder and epileptic phenomena: clinical aspects of the comorbidity. Epilepsia, 4, 78-81.

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