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REM Sleep Behavior Disorder

Sleep disorder in which dreams are physically 'acted out' because the body cannot maintain its normal paralysis during REM sleep.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is REM Sleep Behavior Disorder?

REM sleep behavior disorder (RBD) is a parasomnia in which the muscle paralysis (atonia) that should normally occur during REM sleep is impaired, so that the person physically acts out their dreams.

Patients may shout, swing their arms as if fighting, fall out of bed, or unintentionally injure their bed partners during sleep. When awakened, the dream is usually clearly remembered.

RBD may be an early sign of synucleinopathy-spectrum neurodegenerative diseases such as Parkinson disease, dementia with Lewy bodies, and multiple system atrophy. Long-term neurological follow-up is recommended for affected individuals.

Symptoms

Shouting, crying, or swearing during sleep
Swinging arms in bed, throwing punches, kicking
Falling out of bed and injuring oneself
Vividly remembering the dream upon awakening
Inability of the partner to sleep, or partner injury
Increasingly frequent night-time events

Risk Factors

More common in men older than 60
Parkinson disease or parkinsonism
Use of antidepressants (especially SSRIs/SNRIs)
Narcolepsy
Family history of RBD

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If sleep behaviors are causing injury
  • If a partner or roommate reports complex night-time behaviors
  • If Parkinson disease or dementia is suspected
  • If it is desirable to assess whether current antidepressant therapy is triggering the disorder

Treatment Methods

01
Making the sleep environment safe (precautions against falling out of bed)
02
Melatonin (low-side-effect, first-line)
03
Clonazepam (when needed)
04
Review of triggering medications (SSRIs)
05
Long-term follow-up for neurodegenerative disease

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.