[REM sleep parasomnia].
The parasomnias consist of a heterogenous group of sleep behaviour disorders with different etiologies and various symptomatologies. By employing polysomnography and the simultaneous video recording of behaviour during sleep, it is possible to associate behavioral disturbances during sleep with specific sleep stages. In the present case study, a patient with a REM (rapid eye movement) sleep behaviour disorder is discussed. This rare form of parasomnia is characterized by motor enactment of vivid and striking dreams. Underlying disease in the present case involved bilateral lacunar ischemic infarcts in the brain stem. Under the combined psychotropic medication of carbamazepine and amitriptyline, the behaviour disorder during REM sleep remitted markedly.
Zentralinstitut für Seelische Gesundheit, Psychiatrische Klinik, Mannheim.
M
M
Bahro
K J
KJ
Katzmann
F
F
Gückel
I
I
Sungurtekin
D
D
Riemann
D000639:Amitriptyline / Q000627:therapeutic use; D001933:Brain Stem / Q000098:blood supply*; D002220:Carbamazepine / Q000627:therapeutic use; D002544:Cerebral Infarction / Q000188:drug therapy / Q000503:physiopathology*; D004325:Dreams / Q000187:drug effects / Q000502:physiology*; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000187:drug effects / Q000502:physiology*; D017286:Polysomnography / Q000187:drug effects; D012893:Sleep Wake Disorders / Q000188:drug therapy / Q000503:physiopathology*; D012895:Sleep, REM / Q000187:drug effects / Q000502:physiology*; D013009:Somnambulism / Q000188:drug therapy / Q000503:physiopathology
D000639:Amitriptyline; D002220:Carbamazepine
REM-Schlafparasomnie.