What is REM Behavior Disorder?
Rapid eye movement (REM) sleep behavior disorder (RBD).
REM sleep behavior disorder
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- Western Medicine Name
- Characteristic episodes of violent behavior in vivid dreams REM sleep behavior disorder
- The main symptoms
- Characteristic episodes of violence in vivid dreams
- Contagious
- Non-contagious
- treatment plan
- Available clonazepam 0.5-1mg for treatment, before bedtime
- Rapid eye movement (REM) sleep behavior disorder (RBD).
- REM sleep behavior disorder is a type of sleep behavior abnormality that occurs during REM sleep. It is the most common type of sleep behavior disorder. It loses the muscle tension that is accompanied by normal REM sleep during the onset, and is replaced by sports activities consistent with dreams. . Often accompanied by mental depression, excessive drinking, cerebrovascular disease and degenerative neurological disease. Can be seen at any age, but more common in older men aged 60-70 with violent dreams.
- The clinical manifestations of RBD are various involuntary movements or behavioral abnormalities that occur during REM sleep. Most of them are violent and rough actions, such as punching, kicking, yelling, beatings, sexual assaults, etc. Half of the patients will also have facial, mouth, and limbs. Involuntary movements, accompanied by vivid and amazing dreams, often cause self-injury or hurt sleeping people. Behavior can last from a few seconds to a few minutes, and occurs most often after 90 minutes of falling asleep and near the end of sleep. Patients often use some self-protection methods. Violent behavior is consistent with the content of violent dreams, and some patients can remember the dream-related scenes related to the episode after waking. Patients never wake up from violence, and sleep is never disturbed.
- The diagnosis of RBD requires polysomnography. Because RBD is not recognized, it is often delayed in diagnosis and treatment. Low-dose clonazepam is effective in most patients with REM sleep behavior disorder. Also take steps to ensure a safe sleeping environment.
- Seizures often occur after 90 minutes of sleep, once a week or several times a night. It is characterized by the emergence of characteristic violent behaviors in vivid dreams, such as punches, kicks, rolls, jumps, etc., which can self-injure or hurt the same bed, accompanied by angry language or shouting, and can be awakened by loud voices. You can recall nightmare situations in detail, such as Being attacked and running away.
- The polysomnography showed that muscle tension increased during REM sleep, without loss of muscle tension, a large number of action potentials appeared in the diaphragm, and limb activity increased significantly. The density and quantity of REM sleep increase, and the proportion of NREM sleep stages 3 and 4 can increase.
- Treatment with clonazepam 0.5-1mg, taken before bedtime, 90% of patients can effectively stop the attack. Protective measures should be taken to prevent secondary damage.
- Prevention and prognosis