1. Who treats patients with REM Behavior Disorder (RBD)?
A Sleep specialist treats patients with REM Behavior Disorder (RBD).
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2. Is it true that patients with REM Behavior Disorder (RBD) subsequently develop Parkinson’s disease?
Yes, about 38% of patients diagnosed with RBD subsequently developed Parkinson disease within an average time of 12-13 years from the onset of RBD symptoms.
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3. A person can pretend that he is suffering from this disorder, can it be proved that he is not having this disorder?
Yes, two points can help to prove that:
a. On a polysomnographic recording a normal REM stage of sleep shows up as heightened brain activity with loss of muscle tone in the chin Electromyogram (EMG). In a person with RBD the recording will show heightened brain activity with increased muscle tone in the chin Electromyogram (EMG).
b. Further if there is a video recording it will further help to confirm the findings.
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4. Does lack of adequate sleep aggravate this disorder?
All sleep disorders are aggravated by lack of adequate sleep. Adhering to strict sleep hygiene reduces the frequency and severity of attacks.
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5. What are the other aggravating factors?
An acute form of the disorder may occur during withdrawal from alcohol or sedative-hypnotic drugs.
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6. How effective is the treatment regimen for REM Behavior Disorder RBD?
REM Behavior Disorder RBD is a progressive disease, but the symptoms are effectively controlled with Clonazepam.
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