Presumed REM sleep behavior disorder arising from cataplexy and wakeful dreaming

被引:14
作者
Attarian, H. P. [5 ]
Schenck, C. H. [1 ,2 ,3 ,4 ]
Mahowald, M. W. [1 ,2 ,3 ,4 ]
机构
[1] Hennepin Cty Med Ctr, Minnesota Reg Sleep Disorder Ctr, Minneapolis, MN 55415 USA
[2] Hennepin Cty Med Ctr, Dept Neurol, Minneapolis, MN 55415 USA
[3] Hennepin Cty Med Ctr, Dept Psychiat, Minneapolis, MN 55415 USA
[4] Univ Minnesota, Sch Med, Minneapolis, MN 55455 USA
[5] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63110 USA
关键词
REM sleep behavior disorder; Cataplexy; Narcolepsy; Tricyclic antidepressants;
D O I
10.1016/S1389-9457(99)00013-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
REM sleep behavior disorder (RBD) is an injurious parasomnia occasionally associated with narcolepsy. RBD usually occurs within REM sleep. We report a case of RBD in a narcoleptic patient arising from cataplexy and wakeful dreaming. The problem of state boundary control inherent in narcolepsy together with the pharmacological effects of tricyclic antidepressants used to treat cataplexy are usually the reason of RBD in narcoleptics. By similar mechanism our patient has presumed RBD out of REM intrusions into wakefulness. (C) 2000 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:131 / 133
页数:3
相关论文
共 7 条
[1]   EXCESSIVE DAYTIME SLEEPINESS AND THE PATHOPHYSIOLOGY OF NARCOLEPSY-CATAPLEXY - A LABORATORY PERSPECTIVE [J].
BROUGHTON, R ;
VALLEY, V ;
AGUIRRE, M ;
ROBERTS, J ;
SUWALSKI, W ;
DUNHAM, W .
SLEEP, 1986, 9 (01) :205-215
[2]   RAPID EYE-MOVEMENTS, MUSCLE TWITCHES AND SAWTOOTH WAVES IN THE SLEEP OF NARCOLEPTIC PATIENTS AND CONTROLS [J].
GEISLER, P ;
MEIEREWERT, K ;
MATSUBAYSHI, K .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1987, 67 (06) :499-507
[3]  
GUILLEMINAULT C, 1976, ACTA NEUROL SCAND, V54, P71, DOI 10.1111/j.1600-0404.1976.tb07621.x
[4]   STATUS DISSOCIATUS - A PERSPECTIVE ON STATES OF BEING [J].
MAHOWALD, MW ;
SCHENCK, CH .
SLEEP, 1991, 14 (01) :69-79
[5]   Parasomnias including the restless legs syndrome [J].
Mahowald, MW ;
Schenck, CH .
CLINICS IN CHEST MEDICINE, 1998, 19 (01) :183-+
[6]   REM-SLEEP BEHAVIOR DISORDER - AN UPDATE ON A SERIES OF 96 PATIENTS AND A REVIEW OF THE WORLD LITERATURE [J].
SCHENCK, CH ;
HURWITZ, TD ;
MAHOWALD, MW .
JOURNAL OF SLEEP RESEARCH, 1993, 2 (04) :224-231
[7]   MOTOR DYSCONTROL IN NARCOLEPSY - RAPID-EYE-MOVEMENT (REM) SLEEP WITHOUT ATONIA AND REM-SLEEP BEHAVIOR DISORDER [J].
SCHENCK, CH ;
MAHOWALD, MW .
ANNALS OF NEUROLOGY, 1992, 32 (01) :3-10