Snoring, penile erection and loss of reflexive consciousness during REM sleep behavior disorder

The video shows four patients with RBD exhibiting complex behaviors (mostly gesturing) while snoring during REM sleep. The corresponding polysomnographic sequences were scored as REM sleep.

The video shows a narcoleptic patient with RBD awakened by his wife during a motor complex behavior including whistling, speaking and gesturing (as she thought he was already awake). He protested that he was sleeping before. This sequence illustrates the loss of reflexive consciousness during RBD motor behaviors.

The video shows a patient with parkinsonism-associated RBD displaying an overt erection while having minor hand movements during REM sleep and snoring. The corresponding polysomnographic sequences were scored as REM sleep.

Supplemental Figure 1. 30s period of REM sleep monitoring obtained in Patient 2 (with RBD), snoring while simultaneously catching something (between the two blue lines). EOG1 and EOG2: electro-oculograms; FP1-A2, C3-A1, C3-O1: EEG channels; EMG1, electromyogram of the submentalis muscle. Supplemental Figure 2. 30s period of sleep monitoring obtained in Patient 3 (with RBD), snoring while simultaneously beating rhythmically his hand (between the two blue lines). EOG1 and EOG2: electro-oculograms; FP1-A2, C3-A1, C3-O1: EEG channels; EMG1, electromyogram of the submentalis muscle; phono: tracheal sound recording. Supplemental Figure 3. 30s period of sleep monitoring obtained in Patient 4 (with RBD), snoring while simultaneously gesturing (between the two blue lines). EOG1 and EOG2: electro-oculograms; FP1-A2, C3-A1, C3-O1: EEG channels; EMG1, electromyogram of the submentalis muscle; phono: tracheal sound recordings. Supplemental Figure 4. 30s period of sleep monitoring obtained in Patient 6 (with RBD) having a penile erection (with additional penis twitches) while displaying minor hand movements (between the two blue lines). EOG1 and EOG2: electro-oculograms; FP1-A2, C3-A1, C3-O1: EEG channels; EMG1, electromyogram of the submentalis muscle. Supplemental Figure 5. 30s period of sleep monitoring obtained in Patient 7 (with RBD) as he had a penile erection while moving his right arm, and right after fighting against an invisible enemy (between the two blue lines). EOG1 and EOG2: electro-oculograms; FP1-A2, C3-A1, C3-O1: EEG channels; EMG1, electromyogram of the submentalis muscle.