MovDisordV3, France, Analysis, bibRecord, 000203

Polysomnographic diagnosis of idiopathic REM sleep behavior disorder

Identifieur interne : 000203 ( France/Analysis ); précédent : 000202; suivant : 000204

Polysomnographic diagnosis of idiopathic REM sleep behavior disorder

Auteurs : Jacques Montplaisir [Canada] ; Jean-Francois Gagnon [Canada] ; Maria Livia Fantini [Italie] ; Ronald B. Postuma [Canada] ; Yves Dauvilliers [France] ; Alex Desautels [Canada] ; Sylvie Rompré [Canada] ; Jean Paquet [Canada]

Source :

Movement Disorders [ 0885-3185 ] ; 2010-10-15.

RBID : ISTEX:E3A23C712D2D1736F417210004D089C7468E32B9

Descripteurs français

Pascal (Inist)
- Comportement, Diagnostic, Electromyographie, Idiopathique, Pathologie du système nerveux, Sommeil paradoxal, Trouble du sommeil.

English descriptors

KwdEn :
- Aged, Behavior, Diagnosis, EMG, Electromyography, Electromyography (methods), Electrooculography (methods), Female, Humans, Idiopathic, Male, Middle Aged, Nervous system diseases, Polysomnography (methods), RBD, REM Sleep Behavior Disorder (diagnosis), REM sleep, Rapid eye movement sleep, Sensitivity and Specificity, Sleep disorder, diagnosis, scoring.
MESH :
- diagnosis : REM Sleep Behavior Disorder.
- methods : Electromyography, Electrooculography, Polysomnography.
- Aged, Female, Humans, Male, Middle Aged, Sensitivity and Specificity.

Abstract

The presence of either excessive tonic chin EMG activity during REM sleep, or excessive phasic submental or limb EMG twitching is required to diagnose REM sleep behavior disorder (RBD). The aim was to identify cut‐off values and to assess the sensitivity and specificity of these values taken separately or combined to diagnose idiopathic RBD patients. Eighty patients presenting with a clinical diagnosis of idiopathic RBD and 80 age‐ and gender‐matched normal controls were studied in the sleep laboratory. Receiver operating characteristic curves were drawn to find optimal cut‐off values for three REM sleep EMG parameters. Tonic and phasic EMG activity were measured in the chin, but not in the limbs. Videos were examined during the recording but were not systematically reviewed by the authors. Total correct classification of 81.9% was found for tonic chin EMG density ≥30%; 83.8% for phasic chin EMG density ≥15% and 75.6% for ≥24 leg movements per hour of REM sleep. Five patients did not fulfill any of these three polysomnographic (PSG) criteria. Conversely, one subject of the control group met the PSG criteria for RBD. This study estimates the diagnostic value of a visual scoring method for the diagnosis of idiopathic RBD and establishes cut‐off values to be used in clinical and research set‐ups. For the five RBD patients who did not show chin EMG abnormalities, it cannot be excluded that they had increased phasic EMG activity in the upper limbs and presented visible motor activity. © 2010 Movement Disorder Society

Url:

https://api.istex.fr/document/E3A23C712D2D1736F417210004D089C7468E32B9/fulltext/pdf

DOI: 10.1002/mds.23257

Affiliations:

Links to Exploration step

ISTEX:E3A23C712D2D1736F417210004D089C7468E32B9

Le document en format XML

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<front><div type="abstract" xml:lang="en">The presence of either excessive tonic chin EMG activity during REM sleep, or excessive phasic submental or limb EMG twitching is required to diagnose REM sleep behavior disorder (RBD). The aim was to identify cut‐off values and to assess the sensitivity and specificity of these values taken separately or combined to diagnose idiopathic RBD patients. Eighty patients presenting with a clinical diagnosis of idiopathic RBD and 80 age‐ and gender‐matched normal controls were studied in the sleep laboratory. Receiver operating characteristic curves were drawn to find optimal cut‐off values for three REM sleep EMG parameters. Tonic and phasic EMG activity were measured in the chin, but not in the limbs. Videos were examined during the recording but were not systematically reviewed by the authors. Total correct classification of 81.9% was found for tonic chin EMG density ≥30%; 83.8% for phasic chin EMG density ≥15% and 75.6% for ≥24 leg movements per hour of REM sleep. Five patients did not fulfill any of these three polysomnographic (PSG) criteria. Conversely, one subject of the control group met the PSG criteria for RBD. This study estimates the diagnostic value of a visual scoring method for the diagnosis of idiopathic RBD and establishes cut‐off values to be used in clinical and research set‐ups. For the five RBD patients who did not show chin EMG abnormalities, it cannot be excluded that they had increased phasic EMG activity in the upper limbs and presented visible motor activity. © 2010 Movement Disorder Society</div>
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Movement Disorders (revue)

Polysomnographic diagnosis of idiopathic REM sleep behavior disorder

Polysomnographic diagnosis of idiopathic REM sleep behavior disorder

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.