The REM Sleep Behavior Disorder

1630 Words4 Pages

The REM Sleep Behavior Disorder

The REM Sleep Behavior Disorder (RBD) is characterized clinically by a history of changes in the nature of the patients' dreams

(they are more action-packed) and motor behavior (its is more action packed) during REM sleep that correlate with the

simultaneously occurring dream-mentation. The polysomnographic (PSG) findings consist of the intermittent appearance of

markedly increased tonic and phasic EMG activity during REM sleep Clinically, RBD usually responds exquisitely and persistently

to the nightly administration of clonazepam. While taking clonazepam, patients report that their dreams have reverted to a less

action-packed variety, and that their dream-enacting motor and verbal behaviors have ceased or are much less bothersome.

However, aside from some relatively subtle phasic EMG reduction,[2] the REM sleep-related EMG activity remains relatively

unchanged following clonazepam administration. It is often impossible, by PSG study before and after clonazepam, to identify

which PSG is baseline, and which was performed following the administration of clonazepam.

It is clear from both animal experiments[3] and from human conditions (notably narcolepsy and multi-system degenerative

disorders)[4] that REM sleep may be associated with a lack of tonic or phasic atonia (REM without atonia) without there being

clinical symptoms of dream-enacting behaviors. Therefore, REM without atonia appears to be necessary, but not sufficient, for the

appearance of the full-blown RBD syndrome.

This raises an interesting question: What and/or where is the mechanism of action of clonazepam in the reduction of the

dream-related motor behavior during REM sleep? Is at the locomotor center, or s...

... middle of paper ...

...us. There is a lot of literature available on how various conditions or chemicals effect the amount of time we spend in

either Slow-Wave or REM sleep, and I hope future essays will delve more fully into these subjects. Luckily for researchers

studying the subject, the origins in the brain responsible for sleep are still not fully understood and thus, facilitate continual probes

into how different parts of the brain are behaving during sleep and how to influence those parts to give us the best or worst

possible night of sleep. In the next section, I will look at a couple of hypotheses on:

There is nothing better for getting the day started off right than waking up in a good mood. This is especially true if we weren't in

the best of moods when we went to sleep. To view the rest of this essay you must be a screwschool member click here to become

a member.

More about The REM Sleep Behavior Disorder

Open Document