Case Report: Rapid Eye Movement Sleep Behavior Disorder as the First Manifestation of Multiple Sclerosis
| Autor: | Jairo Quiñones, Alejandro Enriquez-Marulanda, Valentina Quintana-Peña, Yuri Takeuchi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Advanced and Specialized Nursing education.field_of_study Sleep disorder Pediatrics medicine.medical_specialty business.industry Multiple sclerosis Population Rapid eye movement sleep Parasomnia medicine.disease Sleep in non-human animals Pons 03 medical and health sciences Behavior disorder 030104 developmental biology 0302 clinical medicine Anesthesia Medicine Neurology (clinical) business education 030217 neurology & neurosurgery |
| Zdroj: | International Journal of MS Care. 20:180-184 |
| ISSN: | 1537-2073 |
| DOI: | 10.7224/1537-2073.2017-001 |
| Popis: | Rapid eye movement sleep behavior disorder (RBD) is a parasomnia characterized by brief recurrent episodes of loss of muscle atonia during rapid eye movement sleep, with enacted dreams that cause sleep disruption. Patients with multiple sclerosis (MS) have an increased risk compared with the general population to be affected by a sleep disturbance, including RBD. Patients affected, however, uncommonly can present RBD as the first clinical manifestation of MS without other neurologic deficits. These clinical presentations have usually been attributed to inflammatory lesions in the pedunculopontine nuclei, located in the dorsal pons. We present a case of RBD in a 38-year-old woman who was later diagnosed as having MS due to imaging findings and development of focal neurologic deficits. MS should be considered among the differential diagnoses in patients who present with symptoms of RBD, particularly if they are young and female. |
| Databáze: | OpenAIRE |
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