Exacerbation of REM sleep behavior disorder by chocolate ingestion: a case report.
REM sleep behavior disorder (RBD) is manifest by loss of normal rapid eye movement sleep atonia and the acting out of dreams of often violent content. Both idiopathic and secondary forms of RBD exist. We report on chocolate as a possible new precipitating agent for RBD and comment on a possible mechanism of action in this disorder.
Department of Internal Medicine, Eastern Virginia Medical School, Sentara Norfolk General Hospital, Sleep Disorders Center, 600 Gresham Drive, Norfolk, VA 23507, USA. voronard@evms.edu
Robert Daniel
RD
Vorona
J Catesby
JC
Ware