Sleep Medicine
Volume 1, Issue 2 , Pages 131-133, 1 April 2000

Presumed REM sleep behavior disorder arising from cataplexy and wakeful dreaming

  • H.P Attarian

      Affiliations

    • Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA
  • ,
  • C.H Schenck

      Affiliations

    • Minnesota Regional Sleep Disorder Center; Departments of Neurology and Psychiatry, Hennepin County Medical Center; and University of Minnesota Medical School, Minneapolis, MN, USA.
  • ,
  • M.W Mahowald

      Affiliations

    • Minnesota Regional Sleep Disorder Center; Departments of Neurology and Psychiatry, Hennepin County Medical Center; and University of Minnesota Medical School, Minneapolis, MN, USA.
    • Corresponding Author InformationCorresponding author. Director, Minnesota Regional Sleep Disorder Center at Hennepin County Medical Center, 701 Park Avenue, Minneapolis MN 55415, USA. Tel.: +1-612-347-6288

Received 15 October 1999; received in revised form 2 December 1999; accepted 2 December 1999.

Abstract 

REM sleep behavior disorder (RBD) is an injurious parasomnia occasionally associated with narcolepsy. RBD usually occurs within REM sleep. We report a case of RBD in a narcoleptic patient arising from cataplexy and wakeful dreaming. The problem of state boundary control inherent in narcolepsy together with the pharmacological effects of tricyclic antidepressants used to treat cataplexy are usually the reason of RBD in narcoleptics. By similar mechanism our patient has presumed RBD out of REM intrusions into wakefulness.

Keywords:  REM sleep behavior disorder, Cataplexy, Narcolepsy, Tricyclic antidepressants

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PII: S1389-9457(99)00013-1

Sleep Medicine
Volume 1, Issue 2 , Pages 131-133, 1 April 2000