A Case of Intractable REM Sleep Behavior Disorder Improved With Nasal Continuous Positive Airway Pressure Therapy
Author:
Open Access
- 1 December 2023
- journal article
- research article
- Published by Korean Sleep Society in Journal of Sleep Medicine
- Vol. 20 (3) , 202-205
Abstract
Rapid eye movement (REM) sleep behavior disorder (RBD) is characterized by dream enactment behavior and REM sleep without atonia and is traumatic for the patient and/or bedpartner. Obstructive sleep apnea (OSA) is a common comorbidity of RBD, and several reports have suggested that severe OSA may aggravate RBD symptoms. This case report discusses a patient with medically intractable RBD combined with OSA, confirmed by 10-year follow-up polysomnography (PSG) data, which improved with nasal continuous positive airway pressure (CPAP) therapy. The clinical symptoms of RBD markedly improved after CPAP treatment. Clinicians should raise the clinical suspicion of OSA in patients with intractable RBD and consider follow-up PSG and OSA treatments.Keywords
This publication has 8 references indexed in Scilit:
- Management of REM sleep behavior disorder: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessmentJournal of Clinical Sleep Medicine, 2023
- Isolated rapid eye movement sleep behavior disorder combined with obstructive sleep apnea: response to treatment and its associated factorsSleep Medicine, 2022
- Is REM sleep behavior disorder a friend or foe of obstructive sleep apnea? Clinical and etiological implications for neurodegenerationJournal of Clinical Sleep Medicine, 2021
- Prevalence of obstructive sleep apnoea in REM behaviour disorder: response to continuous positive airway pressure therapySleep and Breathing, 2017
- Two Cases of REM Sleep Behavior Disorder Combined with Severe Obstructive Sleep Apnea: Misdiagnosed as “Pseudo-REM Sleep Behavior Disorder” by Diagnostic PolysomnographyJournal of Korean Sleep Research Society, 2013
- REM sleep behavior disorderAnnals of the New York Academy of Sciences, 2010
- The Influence of Aging on Pharyngeal Collapsibility During SleepChest, 2007
- Severe Obstructive Sleep Apnea/Hypopnea Mimicking REM Sleep Behavior DisorderSLEEP, 2005