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Neuropsychological Aspects: Cognition in RBD

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Rapid-Eye-Movement Sleep Behavior Disorder

Abstract

Idiopathic rapid eye movement sleep behavior disorder (iRBD) is a major risk factor for Parkinson’s disease (PD), dementia with Lewy bodies (DLB), PD with dementia, and mild cognitive impairment (MCI). From 29 to 55% of iRBD patients who develop a neurodegenerative disease convert to dementia, usually DLB. Cross-sectional and longitudinal studies in iRBD patients have revealed a cognitive profile similar to that found in DLB. Moreover, from 33 to 50% of iRBD patients seen in sleep clinics present MCI, and these patients are at higher risk of developing DLB. In PD, the presence of RBD is associated with a more impaired cognitive profile and a higher risk of developing dementia. Neuropsychological assessment in iRBD is essential to identify patients at risk for dementia and to select potential candidates for neuroprotection intervention trials. The Montreal Cognitive Assessment (MoCA) has shown good psychometric properties to detect MCI in iRBD patients and may be used as a screening cognitive test in the absence of neuropsychological testing. This chapter reviews the neuropsychological aspects of RBD.

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Acknowledgments

The authors thank Dr. Jacques Montplaisir and Dr. Ronald Postuma for their contribution to the research program on cognition in rapid eye movement sleep behavior disorder and Parkinson’s disease. Our research program was supported by the Canadian Institutes of Health Research, Fonds de recherche du Québec—Santé, Parkinson Canada, and W. Garfield Weston Foundation. J.-F.G. holds a Canada Research Chair in Cognitive Decline in Pathological Aging.

Conflict of Interest Statement: The research was conducted in the absence of any commercial or financial relationships that could be construed as potential conflicts of interest.

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Gagnon, JF., Bourgouin, PA., De Roy, J., Génier Marchand, D. (2019). Neuropsychological Aspects: Cognition in RBD. 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_34

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