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Beyond RBD: covert REM sleep abnormalities in Parkinson's disease - PubMed

4 hours ago
  • #sleep abnormalities
  • #Parkinson's disease
  • #REM sleep behavior disorder
  • REM sleep behavior disorder (RBD) is a prodromal marker of Parkinson's disease (PD).
  • Study investigates wider REM sleep disruptions beyond RBD in early-stage, drug-naïve PD patients.
  • 25 PD patients and 23 healthy controls underwent polysomnography with high-density EEG.
  • 36% of PD patients showed excessive REM sleep without atonia (RSWA).
  • PD+RSWA patients exhibited increased occipital-parietal theta activity during REM sleep, correlating with disease progression.
  • Sleep benefits consolidation of generalized motor learning (GML) in both groups, but REM sleep duration negatively correlated with GML benefits in PD patients.
  • Subtle REM sleep abnormalities may impair sleep-dependent memory consolidation in early PD.
  • REM sleep disruptions could serve as an early neurophysiological marker of PD progression and a therapeutic target.