Juvenile Parkinson's disease with REM sleep behavior disorder, sleepiness, and daytime REM onset

We describe an unmedicated patient with juvenile PD with difficulties maintaining wakefulness and the atonia of REM sleep. Laboratory testing showed enhanced muscle activity in REM sleep consistent with a history of dream enactment behavior (i.e., REM sleep behavior disorder) and daytime sleepiness,...

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Veröffentlicht in:Neurology 1999-11, Vol.53 (8), p.1868-1870
Hauptverfasser: RYE, D. B, JOHNSTON, L. H, WATTS, R. L, BLIWISE, D. L
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container_title Neurology
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creator RYE, D. B
JOHNSTON, L. H
WATTS, R. L
BLIWISE, D. L
description We describe an unmedicated patient with juvenile PD with difficulties maintaining wakefulness and the atonia of REM sleep. Laboratory testing showed enhanced muscle activity in REM sleep consistent with a history of dream enactment behavior (i.e., REM sleep behavior disorder) and daytime sleepiness, and REM-sleep onsets on multiple sleep latency testing. The results emphasize the potential role of dopamine and basal ganglia circuits in the modulation of activated behavioral states (e.g., wakefulness and REM sleep).
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subjects Adolescent
Adolescent Behavior
Biological and medical sciences
Circadian Rhythm
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Diagnosis, Differential
Diseases in Twins
Electromyography
Female
Genotype
Humans
Medical sciences
Narcolepsy - diagnosis
Narcolepsy - genetics
Neurology
Parkinson Disease - physiopathology
Parkinson Disease - psychology
REM Sleep Behavior Disorder - diagnosis
REM Sleep Behavior Disorder - etiology
Sleep Stages
Sleep, REM
title Juvenile Parkinson's disease with REM sleep behavior disorder, sleepiness, and daytime REM onset
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