Clinical neurophysiology of REM parasomnias.
Ambra Stefani, Evi Holzknecht, Birgit Högl
Handbook of clinical neurology 2019 DOI: 10.1016/b978-0-444-64142-7.00062-x (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Review Peer reviewed |
|---|---|
| Topics | Dreaming |
| Keywords | Isolated sleep paralysis Neurophysiology Polysomnography Rbd Systematic literature search |
| Key findings | Most neurophysiologic studies of REM sleep parasomnias have focused on RBD, with fewer on nightmare disorder or isolated sleep paralysis, and primarily used polysomnography or animal models. |
Abstract
Rapid eye movement (REM) sleep behavior disorder (RBD), sleep paralysis, and nightmare disorder are the three REM sleep parasomnias outlined by the International Classification of Sleep Disorders. In this review we address the clinical neurophysiology of these disorders. The majority of neurophysiologic studies have been conducted in RBD, and fewer studies have evaluated patients with nightmare disorder or isolated sleep paralysis. Neurophysiologic studies of REM sleep parasomnias mostly used polysomnography (PSG), or were performed on animals to shed light on the pathophysiology of these disorders. Fewer studies used electoencephalography or electromyography outside the context of PSG, evoked potentials, or autonomic neurophysiologic studies. In this chapter, the main neurophysiologic findings in REM sleep parasomnias are described and their implications and relevance are discussed.
Comparable studies
Other narrative reviews on dreaming, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| The cognitive neuroscience of lucid dreaming | 2019 | Review | |
| Sleep and dreaming are for important matters | 2013 | Review | |
| Nightmare Disorder and Isolated Sleep Paralysis | 2020 | Review | |
| My Dream, My Rules: Can Lucid Dreaming Treat Nightmares? | 2019 | Review | |
| Dream Recall: State or Trait Variable? Part I: Model, Theories, Methodology and Trait Factors | 1996 | Review |
Citations in the library
Cited by 6
- Nightmare Disorder and Isolated Sleep Paralysis Neurotherapeutics November 23, 2020
- Are sleep paralysis and false awakenings different from REM sleep and from lucid REM sleep? A spectral EEG analysis. Journal of Clinical Sleep Medicine April 1, 2021
- Parasomnias April 1, 2025
- Recurrent fearful isolated sleep paralysis - A distressing co-morbid condition of obstructive sleep apnea. Journal of Family Medicine and Primary Care March 1, 2023
- Nikolai Gogol's account of sleep paralysis in the tale "The Portrait". Sleep Medicine September 1, 2021
and 1 more in the library
Cites 18
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- Increased Reward-Related Behaviors during Sleep and Wakefulness in Sleepwalking and Idiopathic Nightmares PLoS One August 19, 2015
- Dreaming furiously? A sleep laboratory study on the dream content of people with Parkinson's disease and with or without rapid eye movement sleep behavior disorder. Sleep Medicine January 16, 2015
- Electroencephalographic and autonomic alterations in subjects with frequent nightmares during pre-and post-REM periods. Brain and Cognition November 1, 2014
and 13 more in the library