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Rhythmic Movement Disorder in Rapid Eye Movement Sleep in an Adult Patient Triggered by Abnormal Respiratory Events
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Case Report
VOLUME: 7 ISSUE: 3
P: 214-216
September 2020

Rhythmic Movement Disorder in Rapid Eye Movement Sleep in an Adult Patient Triggered by Abnormal Respiratory Events

J Turk Sleep Med 2020;7(3):214-216
DOI: 10.4274/jtsm.galenos.2020.43433
Gülçin Benbir Şenel
Derya Karadeniz
1. İstanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul, Türkiye
No information available.
No information available
Received Date: 19.06.2020
Accepted Date: 16.08.2020
Publish Date: 05.10.2020
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ABSTRACT

Rhythmic movement disorder (RMD) is usually observed in children during drowsiness. However, here we present an adult patient experiencing RMD associated with Obstructive Sleep Apnea syndrome (OSAS) during rapid eye movement (REM) sleep. A 50-year old male was admitted with a complaint of head rocking during sleep for about one year. Video-polysomnography revealed OSAS (43/hour) and RMD. Following positive airway therapy, all the symptoms related to OSAS and head rocking disappeared. Adult-onset RMD occurring in REM sleep is rare; OSAS related arousals, increased cyclic alternating pattern, and possible association with REM sleep without atonia were suggested to be the underlying reasons for the condition.

Keywords: Sleep-related rhythmic movement disorders, REM sleep stage, Obstructive Sleep Apnea syndrome

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