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A case series of REM sleep behavior disorder in pure autonomic failure

Purpose Data on the prevalence of RBD in patients with PAF are limited, with discrepancies in the literature regarding prevalence. We aimed to provide further data on this association with a series of eight patients with PAF. Methods We reviewed the electronic medical records of all patients seen at... Full description

Journal Title: Clinical autonomic research 2016-10-18, Vol.27 (1), p.41-44
Main Author: Miglis, Mitchell G
Other Authors: Muppidi, Srikanth , During, Emmanuel , Jaradeh, Safwan
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
ID: ISSN: 0959-9851
Link: https://www.ncbi.nlm.nih.gov/pubmed/27757562
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recordid: cdi_proquest_miscellaneous_1835491235
title: A case series of REM sleep behavior disorder in pure autonomic failure
format: Article
creator:
  • Miglis, Mitchell G
  • Muppidi, Srikanth
  • During, Emmanuel
  • Jaradeh, Safwan
subjects:
  • Aged
  • Aged, 80 and over
  • Cardiology
  • Diabetes
  • Electronic Health Records - trends
  • Endocrinology
  • Female
  • Follow-Up Studies
  • Gastroenterology
  • Humans
  • Male
  • Medicine
  • Medicine & Public Health
  • Mental illness
  • Middle Aged
  • Neurology
  • Ophthalmology
  • Polysomnography - trends
  • Pure Autonomic Failure - diagnosis
  • Pure Autonomic Failure - epidemiology
  • Pure Autonomic Failure - physiopathology
  • REM Sleep Behavior Disorder - diagnosis
  • REM Sleep Behavior Disorder - epidemiology
  • REM Sleep Behavior Disorder - physiopathology
  • Short Communication
  • Sleep
ispartof: Clinical autonomic research, 2016-10-18, Vol.27 (1), p.41-44
description: Purpose Data on the prevalence of RBD in patients with PAF are limited, with discrepancies in the literature regarding prevalence. We aimed to provide further data on this association with a series of eight patients with PAF. Methods We reviewed the electronic medical records of all patients seen at the Stanford neurology clinics from 2012 to 2016 who were given a provisional diagnosis of PAF (343 patients), and further screened by procedure codes to identify those patients who underwent both attended video-polysomonography and autonomic testing (18 patients), and met strict exclusionary criteria (8 patients). Results The mean age of our patients was 69 years, and 63 % were women. The mean duration of autonomic symptoms was 11.2 years, and the mean duration of dream enactment was 3.75 years. All patients demonstrated evidence of adrenergic failure on autonomic testing. Five out of 8 (63 %) met diagnostic criteria for RBD, confirmed on vPSG. Conclusions Our series supports the concept that RBD in PAF may be more common than previously reported, and that the presence of RBD suggests brainstem involvement in some cases of PAF. In addition, the timing of RBD symptoms relative to the emergence of autonomic symptoms may be useful to help distinguish these conditions.
language: eng
source:
identifier: ISSN: 0959-9851
fulltext: no_fulltext
issn:
  • 0959-9851
  • 1619-1560
url: Link


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titleA case series of REM sleep behavior disorder in pure autonomic failure
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descriptionPurpose Data on the prevalence of RBD in patients with PAF are limited, with discrepancies in the literature regarding prevalence. We aimed to provide further data on this association with a series of eight patients with PAF. Methods We reviewed the electronic medical records of all patients seen at the Stanford neurology clinics from 2012 to 2016 who were given a provisional diagnosis of PAF (343 patients), and further screened by procedure codes to identify those patients who underwent both attended video-polysomonography and autonomic testing (18 patients), and met strict exclusionary criteria (8 patients). Results The mean age of our patients was 69 years, and 63 % were women. The mean duration of autonomic symptoms was 11.2 years, and the mean duration of dream enactment was 3.75 years. All patients demonstrated evidence of adrenergic failure on autonomic testing. Five out of 8 (63 %) met diagnostic criteria for RBD, confirmed on vPSG. Conclusions Our series supports the concept that RBD in PAF may be more common than previously reported, and that the presence of RBD suggests brainstem involvement in some cases of PAF. In addition, the timing of RBD symptoms relative to the emergence of autonomic symptoms may be useful to help distinguish these conditions.
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subjectAged ; Aged, 80 and over ; Cardiology ; Diabetes ; Electronic Health Records - trends ; Endocrinology ; Female ; Follow-Up Studies ; Gastroenterology ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mental illness ; Middle Aged ; Neurology ; Ophthalmology ; Polysomnography - trends ; Pure Autonomic Failure - diagnosis ; Pure Autonomic Failure - epidemiology ; Pure Autonomic Failure - physiopathology ; REM Sleep Behavior Disorder - diagnosis ; REM Sleep Behavior Disorder - epidemiology ; REM Sleep Behavior Disorder - physiopathology ; Short Communication ; Sleep
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descriptionPurpose Data on the prevalence of RBD in patients with PAF are limited, with discrepancies in the literature regarding prevalence. We aimed to provide further data on this association with a series of eight patients with PAF. Methods We reviewed the electronic medical records of all patients seen at the Stanford neurology clinics from 2012 to 2016 who were given a provisional diagnosis of PAF (343 patients), and further screened by procedure codes to identify those patients who underwent both attended video-polysomonography and autonomic testing (18 patients), and met strict exclusionary criteria (8 patients). Results The mean age of our patients was 69 years, and 63 % were women. The mean duration of autonomic symptoms was 11.2 years, and the mean duration of dream enactment was 3.75 years. All patients demonstrated evidence of adrenergic failure on autonomic testing. Five out of 8 (63 %) met diagnostic criteria for RBD, confirmed on vPSG. Conclusions Our series supports the concept that RBD in PAF may be more common than previously reported, and that the presence of RBD suggests brainstem involvement in some cases of PAF. In addition, the timing of RBD symptoms relative to the emergence of autonomic symptoms may be useful to help distinguish these conditions.
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abstractPurpose Data on the prevalence of RBD in patients with PAF are limited, with discrepancies in the literature regarding prevalence. We aimed to provide further data on this association with a series of eight patients with PAF. Methods We reviewed the electronic medical records of all patients seen at the Stanford neurology clinics from 2012 to 2016 who were given a provisional diagnosis of PAF (343 patients), and further screened by procedure codes to identify those patients who underwent both attended video-polysomonography and autonomic testing (18 patients), and met strict exclusionary criteria (8 patients). Results The mean age of our patients was 69 years, and 63 % were women. The mean duration of autonomic symptoms was 11.2 years, and the mean duration of dream enactment was 3.75 years. All patients demonstrated evidence of adrenergic failure on autonomic testing. Five out of 8 (63 %) met diagnostic criteria for RBD, confirmed on vPSG. Conclusions Our series supports the concept that RBD in PAF may be more common than previously reported, and that the presence of RBD suggests brainstem involvement in some cases of PAF. In addition, the timing of RBD symptoms relative to the emergence of autonomic symptoms may be useful to help distinguish these conditions.
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doi10.1007/s10286-016-0386-2