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Rapid-Eye-Movement Sleep Behavior Disorder pp 153–171Cite as

Acute REM Sleep Behavior Disorder

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Abstract

REM sleep behavior disorder (RBD) may occur acutely or subacutely, irrespective of age and sex. RBD or isolated REM sleep without atonia (RSWA) has been associated with various medications, or substance use/abuse, or abrupt withdrawal states. Less frequently, structural brain lesions (vascular, demyelinating disease, tumors), especially in the pontine region, may cause acute RBD. Also, RBD can appear acutely after a stressful life event and in post-traumatic stress disorder. RBD recognition in all these clinical conditions has a clinical value, but could have also a crucial importance in understanding the pathophysiology of RBD. More awareness of the existence of acute forms of RBD and greater familiarity with the various potential clinical pictures may help to avoid misdiagnoses and mistreatments. In addition, if prospective studies will confirm the existence of separate RBD patient subgroups (e.g., older men with neurodegenerative diseases, younger patients with narcolepsy, middle-aged women with depression taking antidepressants, and patients with autoimmune diseases), then prognostic differences and optimal treatments across RBD subgroups could emerge.

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Acknowledgments

We are grateful to Luca Baldelli for literature searching and revision, Cecilia Baroncini for English editing, and Elena Zoni for graphic production.

Author information

Authors and Affiliations

  1. IRCCS, Institute of Neurological Sciences of Bologna, Bellaria Hospital, Bologna, Italy

    Federica Provini

  2. Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy

    Federica Provini

  3. Center for Sleep-related Disorders, Kansai Electric Power Hospital, Osaka, Japan

    Naoko Tachibana

  4. Division of Sleep Medicine, Kansai Electric Power Medical Research Institute, Osaka, Japan

    Naoko Tachibana

Authors
  1. Federica Provini
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  2. Naoko Tachibana
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Corresponding author

Correspondence to Federica Provini .

Editor information

Editors and Affiliations

  1. Minnesota Regional Sleep Disorders Center, Departments of Psychiatry, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis, MN, USA

    Carlos H. Schenck

  2. Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria

    Birgit Högl

  3. Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Aleksandar Videnovic

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Provini, F., Tachibana, N. (2019). Acute REM Sleep Behavior Disorder. In: Schenck, C., Högl, B., Videnovic, A. (eds) Rapid-Eye-Movement Sleep Behavior Disorder. Springer, Cham. https://doi.org/10.1007/978-3-319-90152-7_12

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