Titlebook: Disorders of Sleep and Circadian Rhythms in Parkinson‘s Disease; Aleksandar Videnovic,Birgit Högl Book 2015 Springer-Verlag Wien 2015 Circ

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Insomnia in Parkinson’s Diseaseion. The pathophysiology of insomnia is complex and not fully understood. Contributing factors to insomnia in PD include complex medication regimens and comorbidities associated with the disease. A dedicated sleep interview that includes patients’ bed partners or care givers is a necessary diagnosti

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Excessive Daytime Somnolence Associated with Parkinson’s Diseasel alertness in the daytime and undesirable lapses into sleep. Often overshadowed by the motor symptoms of PD, EDS can contribute to home and automobile accidents and have a negative impact on mood and overall quality of life. Sleep disturbances and EDS can result from the medications used to treat P

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REM Sleep Behavior Disordere processes in the brainstem. Normally, REM sleep is characterized by vivid mentation combined with skeletal muscle paralysis. This REM atonia is diminished or absent in RBD, which enables patients to act out their dreams with violent, injurious nocturnal behaviors. Consistent with an impending neur

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Quality Control for Diagnosis of REM Sleep Behavior Disorder: Criteria, Questionnaires, Video, and Pile probable RBD can be diagnosed from questionnaires, for a definite diagnosis polysomnography demonstrating REM sleep without atonia is necessary. Several studies have provided cut-off values for excessive muscle activity during REM sleep to make an objective and accurate diagnosis of RBD. Recent

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Restless Legs Syndrome and Periodic Limb Movements in Parkinson’s Diseasents of sleep (PLMS). RLS occurs in about 20 % of PD patients in most studies, but idiopathic RLS does not seem to precede the development of PD. In fact there is some evidence that idiopathic RLS may prevent the subsequent development of PD. In cases of PD/RLS the PD usually presents first, and RLS