REM behavior disorder

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REM Behavior Disorder (RBD) is a sleep disorder that is characterized by the loss of muscle atonia (muscle relaxation) during Rapid Eye Movement sleep (REM sleep), resulting in the individual acting out their dreams. This can lead to potentially harmful actions to the individual or others around them.

Symptoms[edit | edit source]

The main symptom of REM Behavior Disorder is dream-enacting behaviors, which can include talking, yelling, punching, kicking, sitting, jumping from bed, arm flailing, and grabbing. These behaviors can be potentially harmful to the individual or others around them. Other symptoms can include:

Causes[edit | edit source]

The exact cause of REM Behavior Disorder is unknown, but it is believed to be linked to degenerative neurological conditions such as Parkinson's disease, Multiple system atrophy, and Lewy body dementia. It can also be caused by withdrawal from certain medications, including sedatives and alcohol.

Diagnosis[edit | edit source]

Diagnosis of REM Behavior Disorder is usually done through a clinical interview and may be confirmed with a sleep study. Other tests may include a MRI or CT scan to rule out other potential causes.

Treatment[edit | edit source]

Treatment for REM Behavior Disorder usually involves managing any underlying conditions and using medications to suppress REM sleep. This can include Clonazepam and Melatonin. In some cases, changes to the sleep environment may be necessary to prevent injury.

See also[edit | edit source]

References[edit | edit source]


REM behavior disorder Resources
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Contributors: Prab R. Tumpati, MD