StatPearls

StatPearls

Book. 2018 01

Authors:

Abstract
Rapid eye movement (REM) sleep behavior disorder (RBD) is a REM sleep parasomnia characterized by dream enactment during sleep.[1] Patients act out during their dreams while being in the REM stage of the sleep. This enactment may be violent and can lead to injury to themselves or others without any conscious awareness. A patient can recall the contents of the dream upon awakening. Most patient's with REM behavior disorder will eventually manifest neurodegenerative diseases like parkinsonism, dementia with Lewy body, or multisystem atrophy. There are also secondary cases of RBD associated with narcolepsy or use of antidepressant medications. A patient may be warned about the future development of these neurological disorders. Treatment consists of preventive measures while sleeping to avoid injury to the patient as well as the bed partner. In severe cases, the patient may be prescribed melatonin or clonazepam.

PMID: 30480972

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