REM Sleep Behavior Disorder (cont.)
Medical Author:
ABM Salah Uddin, MD
Medical Editor:
Erasmo A Passaro, MD
Medical Editor:
Francisco Talavera, PharmD, PhD
Medical Editor:
Stephen Berman, MD, PhD
IN THIS ARTICLE
REM Sleep Disorder CausesThe exact cause ofREM sleep behavior disorder(RBD) is unknown, although the disorder may occur in association with various degenerative neurological conditionssuch as Parkinson disease, multisystem atrophy, diffuse Lewy body dementia,and Shy-Drager syndrome. In 55% of persons the cause is unknown, and in 45%, the cause is associated with alcohol or sedative-hypnotic withdrawal, tricyclic antidepressant (such as imipramine), or
serotonin reuptake inhibitor use (such as fluoxetine,sertraline, orparoxetine)or other types of antidepressants (mirtazapine). RBD often precedes the development ofthese neurodegenerative diseases by several years. In one study, 38% of patients diagnosed withRBDsubsequently developed Parkinson disease within an average time of 12-13 years from the onset ofRBDsymptoms. The prevalence of RBD is increased in persons with Parkinson disease and in multisystem atrophy where it is observed in 69% of these patients. The relationship betweenRBDand Parkinson disease is complex; however, not all persons with RBD develop Parkinson disease. Next Page: Must Read Articles Related to REM Sleep Behavior Disorder
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Viewer Comments & ReviewsREM Sleep Behavior Disorder - CausesThe eMedicineHealth physician editors ask:What was the cause of your REM Sleep Behavior Disorder? |
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REM Sleep Behavior Disorder »
Rapid eye movement (REM) sleep behavior disorder (RBD) is a newly described disorder, recognized as a distinct clinical entity following a series of reports in 1986 of adults with RBD.
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