Accepted
at 12:07 p.m. Dec, 24, 2024
by
Ahmed7
Author:
mohannadkh10
Co-authors:
Ahmed7
Type of change:
New Tags
Rationale for change
The question has a typical description for REM sleep behavior disorder, the answer is "Excessive, sustained muscle tone during REM sleep" but this card is helpful to know the diagnosis
Prodromal sign as it appears before the onset of disease
No changes in fields
Text
What is the most likely disorder in an older patient who is constantly moving in his sleep as if acting out his dreams? The patient remembers his dreams and becomes fully alert upon wakening after a transient confusion.
{{c1::REM sleep behavior disorder}}
Extra
- Characterized by aggressive or complex motor behaviors during REM sleep (eg, kicking in bed, pushing furniture)
- More common in older adult men
- Can recall dream content but unaware of their movements
- Sign of neurodegeneration in Parkinson disease or dementia with Lewy bodies (if it occurs recurrently)
- More common in older adult men
- Can recall dream content but unaware of their movements
- Sign of neurodegeneration in Parkinson disease or dementia with Lewy bodies (if it occurs recurrently)
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