Clinical profiles of late-onset psychiatric patients exhibiting incidental REM sleep without atonia.
Age of Onset
Aged
Brain
/ diagnostic imaging
Dopamine Plasma Membrane Transport Proteins
/ metabolism
Female
Heart
/ diagnostic imaging
Humans
Male
Mental Disorders
/ diagnostic imaging
Parkinson Disease
/ diagnostic imaging
Prevalence
REM Sleep Parasomnias
/ diagnostic imaging
Retrospective Studies
Sleep, REM
Antidepressant
Dementia with Lewy bodies
Depression
Neuroimaging
Parkinson’s disease
Journal
Journal of neural transmission (Vienna, Austria : 1996)
ISSN: 1435-1463
Titre abrégé: J Neural Transm (Vienna)
Pays: Austria
ID NLM: 9702341
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
08
12
2018
accepted:
15
06
2019
pubmed:
24
6
2019
medline:
29
7
2020
entrez:
24
6
2019
Statut:
ppublish
Résumé
Rapid eye movement (REM) sleep without atonia (RWA), which is a hallmark of REM sleep behavior disorder (RBD) on polysomnography (PSG), may represent specific characteristics of prodromal Parkinson's disease (PD)/dementia with Lewy bodies (DLB), even when dream-enactment behavior is absent. We investigated the clinical profiles associated with PD/DLB in late-onset psychiatric patients exhibiting incidental RWA. Among patients who underwent PSG in our psychiatric ward, eight with incidental RWA, nine with idiopathic RBD, and seven with PD or DLB who had preceding RBD were included. Clinical variables, including the percentage of RWA in the total REM sleep (%RWA), were compared among the three groups. The frequency of depressive disorders as a primary psychiatric diagnosis and antidepressant usage were significantly higher in the incidental RWA group than in the other groups. There were no differences in the prevalence of supportive features of DLB among the three groups. The median %RWA was significantly lower in the incidental RWA group than in the other groups. Although the cardiac
Identifiants
pubmed: 31230267
doi: 10.1007/s00702-019-02035-7
pii: 10.1007/s00702-019-02035-7
doi:
Substances chimiques
Dopamine Plasma Membrane Transport Proteins
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1095-1104Références
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