수면다원기록(睡眠多元記錄)으로 확인(確認)된 급속수구운동수면(急速眼球運動睡眠) 행동장애(行動障碍) 1례(例)

• 영문명: A Case of REM Sleep Behavior Disorder Confirmed with Polysomnography
• 발행기관: 대한수면의학회
• 저자명: 정도언 윤인영
• 간행물 정보: 『수면정신생리』제1권 제1호, 99~106쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1994.05.31

영문 초록

The authors report a case of REM sleep behavior disorder which occurred in a 69-year-old business man. He began experiencing episodic acting out behavior of his dream at the age of 66. The episodes tended to be associated with dream contents, mainly being chased or threatened. Before that, his sleep was relatively quiet despite occasional nightmares, midsleep arousal, and shallowness. Injuries resulted from leaping out of bed, jumping onto furnitures, and grabbing and biting the spouse s arm. Most recent dream-incurred laceration of chin required 5 sutures. Medical and psychiatric history revealed no significant findings except that he had been overanxious all his life within himself with others reputation of himself as pleasant and easy-going. A nocturnal polysomnogram showed repeatedly intermittent increase of chin and/or leg muscle tones during otherwise characteristic REM sleep period. The overnight video recording revealed head lifting and limb movements during REM sleep periods. Brain MRI and EEG were normal. Job-related stress was presumed to be an etiological possibility. Clonazepam 0.25-0.5mg nightly almost completely relieved the symptoms.

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급속안구운동수면 급속안구운동 행동장애 수면다원기록 클로나제팜 REM sleep REM sleep behavior disorder Polysomnography Clonazepam