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REM Sleep Behavior Disorder: Clinical, Developmental, and Neuroscience Perspectives 16 Years After its Formal Identification in SLEEP
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“Neuromodulatory systems also create the conditions of muscle atonia during dreaming, without which dreams can be acted out by the body during sleep, a dangerous parasomnia called REM sleep behavior disorder.25”
From The overfitted brain: Dreams evolved to assist generalization (2021) · cites this paper as [25]
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“RBD is characterised by dysfunction of systems that produce the normal REM atonia of sleep (Schenck and Mahowald, 2002) and is”
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“Neuromodulatory systems also create the conditions of muscle atonia during dreaming, without which dreams can be acted out by the body during sleep, a dangerous parasomnia called REM sleep behavior disorder (Schenck and Mahowald, 2002).”
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“However, most studies have demonstrated that EDS is uncommon in IRBD [65] and in untreated de novo PD [66–68].”
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“It occurs only during REM sleep and is characterized by the loss of skeletal muscle atonia associated with REM sleep resulting in complex and vigorous dream-enacting behaviors (47).”
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“RSWA therefore represents the electrophysiologic substrate for RBD, but the diagnosis of RBD requires (1) RSWA plus (2a) a history of dream enactment behavior or (2b) dream enactment behavior during REM sleep captured on the PSG (Mahowald and Schenck, 2000).”
BackgroundFerri, R., Zucconi, M., Marelli, S., Plazzi, G., Schenck, C. H., & Ferini‐Strambi, L. (2013) · Sleep Medicine · doi:10.1016/j.sleep.2013.01.007 · Cited by 61
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“Patients with RBD act out their dreams and commonly have violent or injurious behavior during sleep [35, 51, 52].”
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“keywords dream content, dream enactment behaviour, Parkinson s disease, REM sleep behaviour disorder, video analysis INTRODUCTION Rapid eye movement (REM) sleep behaviour disorder (RBD) is believed to be characterized by acting-out of dreams while sound asleep and unaware of one s surroundings (Schenck and Mahowald, 2…”
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“REM behavioral disorder is a sleep condition characterized by muscular movement in REM sleep with dream activity (Schenck et al., 1986; Schenck et al., 1987; Schenck et al., 2002).”
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“characterized by dream-enacting behaviors, such as shouting, punching, and falling out of bed, related to unpleasant dreams and loss of normal REM-sleep muscle atonia (Schenck and Mahowald, 2002).”
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“Among the best known premotor PD NMS are constipation, REM behavior disorder (RBD) and hyposmia but other NMS can occur in the premotor phase of PD [3–18].”
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“In fact, the firstline treatments for RBD (clonazepam and melatonin) are not effective in at least 10% of patients [21].”
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“suggesting a REM behaviour disorder [22][23] (as defined by the International Classification of Sleep Disorders (ICSD, 1990)).”
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Clonazepam: Indications, Side Effects, and Potential for Nonmedical Use
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Metadata
- Authors
- Schenck, C. H., & Mahowald, M. W.
- Affiliations
- Hennepin County Medical Center (US)
- ORCID
- Schenck, Carlos H.
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-01
- Volume
- 25
- Issue
- 2
- Pages
- 120-138
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2332602680
- Cited by
- 770
- References
- 159
- Citations by year
- 2026: 10 · 2025: 21 · 2024: 22 · 2023: 16 · 2022: 34 · 2021: 32 · 2020: 42 · 2019: 30 · 2018: 41 · 2017: 36 · 2016: 32 · 2015: 30 · 2014: 38 · 2013: 47 · 2012: 40
- FWCI
- 11.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- REM sleep behavior disorder, clinical features, developmental aspects, neurobiology, sleep disorders, REM sleep
- MeSH terms
- Adolescent, Adult, Aged, Anticonvulsants, Chronic Disease, Clonazepam, Diagnosis, Differential, Electroencephalography, Female, HLA Antigens, Humans, Male, Middle Aged, Narcolepsy, Videotape Recording, Prevalence, Polysomnography, Parkinsonian Disorders, REM Sleep Parasomnias
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