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Wellbutrin and insomnia help1/7/2024 Patients may be aware of having vivid dreams and waking themselves up crying out or striking with their limbs. For reasons that are not yet understood, dreams typically involve being attacked or threatened, or having to defend oneself. Quite often it is the patient’s bedpartner who is initially bothered by the “dream-enactment.” Symptoms may include loud talking, crying out, screaming, flailing, punching or kicking. In many cases, patients with RBD aren’t initially aware of the problem. REM Sleep Behavior Disorder Clinical Features Unfortunately, at present time, there are no proven interventions to prevent such conditions. It is important to make the appropriate diagnosis so that patients can be monitored closely for signs and symptoms of such neurodegenerative conditions. There is a strong male predominance to RBD with a reported male to female ratio as high as 9:1. One study showed that 80-90% of patients with RBD eventually developed a neurodegenerative condition. The onset of RBD is highly predictive of developing one of these conditions, which may occur years or even decades later. RBD is also associated with Alzheimer’s disease and other forms of dementia. RBD is associated with a number of neurodegenerative conditions, most commonly Parkinson’s disease and related disorders that are caused by the accumulation of an abnormal protein called alpha-synuclein in the brain. When muscles stay inappropriately “on-line” in REM, we call it REM Sleep Behavior Disorder, or RBD for short. This prevents us from acting out our dreams. Our bodies were ingeniously designed to have “atonia,” or complete lack of muscle tone, during REM except for the eye muscles and the diaphragm, the muscle that controls breathing. REM sleep is the stage of sleep when we have our most vivid dreams. BOARD MEMBERS / CONTRIBUTORS / REVIEWERS.Ask the Sleep Doctor: Do you have a question about sleep or sleep disorders?.Sleep Disorders – ICD-10 Codes and Names.Sleeping Pills: Medications to Help you Sleep.Best Anti-Snoring Mouth Guards, Mouthpieces, and Snoring Devices.CPAP Supplies – What connects to the CPAP machine?.CPAP and BiPAP: Which One is Best For You?.Excessive Daytime Sleepiness: Causes, Test and Treatments.Drowsiness: Causes, Treatments, and Prevention. ![]()
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