Shy-Drager syndrome presenting as a REM behavioral disorder.
Shy-Drager syndrome (SDS) is associated with a myriad of autonomic and neurologic impairments, including sleep disturbances. A review of the literature reveals that there are no reports of SDS presenting with an abnormality of sleep. The following case report describes a patient who was diagnosed with SDS approximately one decade after initially presenting with a progressive, polysomnographically confirmed disturbance of sleep--specifically, an REM behavioral disorder (RBD).
Wright
B A
BA
Department of Psychiatry, Geriatric Health Services, University of Pittsburgh, School of Medicine, PA 15213.
Rosen
J R
JR
Buysse
D J
DJ
Reynolds
C F
CF
Zubenko
G S
GS
D000368:Aged; D001341:Autonomic Nervous System / Q000503:physiopathology; D002540:Cerebral Cortex / Q000503:physiopathology; D004569:Electroencephalography; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic; D009460:Neurologic Examination; D012189:Retrospective Studies; D012791:Shy-Drager Syndrome / Q000175:diagnosis* / Q000503:physiopathology; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000503:physiopathology; D012895:Sleep, REM / Q000502:physiology*