Sleep Med Psychophysiol.  1995 Jun;2(1):3-12.

REM Sleep Behavior Disorder and Nightmares

Affiliations
  • 1Department of Neuropsychiatry and Division of Sleep Studies, Seoul National University Hospital, Seoul, Korea.

Abstract

In the International Classification of Sleep Disorders(ICSD), REM sleep behavior disorder(RBD) and nightmares are classified as 'parasomnias usually associated with REM sleep'. RBD can be defined as the intermittent absence of REM sleep EMG atonia and the appearance of the elaborate motor activity associated with dream mentation.? Bilateral pontine tegmental lesions in cats induce RBD-like behavior, but in human cases, more than 60% are idiopathic. Polysomnography shows characteristic findings in REM sleep and treatment with clonazepam is highly effective. With nightmares as long, frightening dream decreasing with age, their persistence or appearance in adults is related with certain drugs, trauma, personality and psychotic episode. Psychotherapy, behavior techniques or medication is used for treatment, but all of nightmares do not require treatment.

Keyword

REM sleep; REM sleep behavior disorder; Nightmare

MeSH Terms

Adult
Animals
Cats
Classification
Clonazepam
Dreams*
Humans
Motor Activity
Polysomnography
Psychotherapy
REM Sleep Behavior Disorder*
Sleep, REM*
Clonazepam
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