MovDisordV3, PascalFrancis, Curation, bibRecord, 002443

Polysomnographic Diagnosis of Idiopathic REM Sleep Behavior Disorder

Identifieur interne : 002443 ( PascalFrancis/Curation ); précédent : 002442; suivant : 002444

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 Rompre [Canada] ; Jean Paquet [Canada]

Source :

Movement disorders [ 0885-3185 ] ; 2010.

RBID : Pascal:10-0474353

Descripteurs français

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

English descriptors

KwdEn :
- Behavior, Diagnosis, Electromyography, Idiopathic, Nervous system diseases, Rapid eye movement sleep, Sleep disorder.

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.

A01	`01`	`1`		`@0 0885-3185`
A03		`1`		`@0 Mov. disord.`
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A08	`01`	`1`	`ENG`	`@1 Polysomnographic Diagnosis of Idiopathic REM Sleep Behavior Disorder`
A11	`01`	`1`		`@1 MONTPLAISIR (Jacques)`
A11	`02`	`1`		`@1 GAGNON (Jean-Francois)`
A11	`03`	`1`		`@1 FANTINI (Maria Livia)`
A11	`04`	`1`		`@1 POSTUMA (Ronald B.)`
A11	`05`	`1`		`@1 DAUVILLIERS (Yves)`
A11	`06`	`1`		`@1 DESAUTELS (Alex)`
A11	`07`	`1`		`@1 ROMPRE (Sylvie)`
A11	`08`	`1`		`@1 PAQUET (Jean)`
A14	`01`			`@1 Centre d'étude du sommeil et des rythmes biologiques, Hopital du Sacré-Coeur de Montréal @2 Québec @3 CAN @Z 1 aut. @Z 2 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut.`
A14	`02`			`@1 Department of Psychiatry, Université de Montréal @2 Québec @3 CAN @Z 1 aut. @Z 2 aut. @Z 6 aut. @Z 8 aut.`
A14	`03`			`@1 Sleep Disorders Center, Department of Neurology, Università Vita-Salute San Raffaele @2 Milan @3 ITA @Z 3 aut.`
A14	`04`			`@1 Department of Neurology, Montreal General Hospital, McGill University @2 Montreal, Quebec @3 CAN @Z 4 aut.`
A14	`05`			`@1 Department of Neurology, Hôpital Gui de Chauliac, Inserm, U888, Université de Montpellier @2 Montpellier @3 FRA @Z 5 aut.`
A20				`@1 2044-2051`
A21				`@1 2010`
A23	`01`			`@0 ENG`
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A44				`@0 0000 @1 © 2010 INIST-CNRS. All rights reserved.`
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A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Movement disorders`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 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.
C02	`01`	`X`		`@0 002B17`
C02	`02`	`X`		`@0 002B17A02`
C03	`01`	`X`	`FRE`	`@0 Trouble du sommeil @5 01`
C03	`01`	`X`	`ENG`	`@0 Sleep disorder @5 01`
C03	`01`	`X`	`SPA`	`@0 Trastorno sueño @5 01`
C03	`02`	`X`	`FRE`	`@0 Pathologie du système nerveux @5 02`
C03	`02`	`X`	`ENG`	`@0 Nervous system diseases @5 02`
C03	`02`	`X`	`SPA`	`@0 Sistema nervioso patología @5 02`
C03	`03`	`X`	`FRE`	`@0 Diagnostic @5 09`
C03	`03`	`X`	`ENG`	`@0 Diagnosis @5 09`
C03	`03`	`X`	`SPA`	`@0 Diagnóstico @5 09`
C03	`04`	`X`	`FRE`	`@0 Idiopathique @5 10`
C03	`04`	`X`	`ENG`	`@0 Idiopathic @5 10`
C03	`04`	`X`	`SPA`	`@0 Idiopático @5 10`
C03	`05`	`X`	`FRE`	`@0 Sommeil paradoxal @5 11`
C03	`05`	`X`	`ENG`	`@0 Rapid eye movement sleep @5 11`
C03	`05`	`X`	`SPA`	`@0 Sueño paradojal @5 11`
C03	`06`	`X`	`FRE`	`@0 Comportement @5 12`
C03	`06`	`X`	`ENG`	`@0 Behavior @5 12`
C03	`06`	`X`	`SPA`	`@0 Conducta @5 12`
C03	`07`	`X`	`FRE`	`@0 Electromyographie @5 13`
C03	`07`	`X`	`ENG`	`@0 Electromyography @5 13`
C03	`07`	`X`	`SPA`	`@0 Electromiografía @5 13`
C07	`01`	`X`	`FRE`	`@0 Cycle veille sommeil @5 37`
C07	`01`	`X`	`ENG`	`@0 Sleep wake cycle @5 37`
C07	`01`	`X`	`SPA`	`@0 Ciclo sueño vigilia @5 37`
C07	`02`	`X`	`FRE`	`@0 Trouble neurologique @5 39`
C07	`02`	`X`	`ENG`	`@0 Neurological disorder @5 39`
C07	`02`	`X`	`SPA`	`@0 Trastorno neurológico @5 39`
C07	`03`	`X`	`FRE`	`@0 Electrophysiologie @5 40`
C07	`03`	`X`	`ENG`	`@0 Electrophysiology @5 40`
C07	`03`	`X`	`SPA`	`@0 Electrofisiología @5 40`
N21				`@1 312`
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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Polysomnographic Diagnosis of Idiopathic REM Sleep Behavior Disorder</title>
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<author><name sortKey="Desautels, Alex" sort="Desautels, Alex" uniqKey="Desautels A" first="Alex" last="Desautels">Alex Desautels</name>
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<author><name sortKey="Rompre, Sylvie" sort="Rompre, Sylvie" uniqKey="Rompre S" first="Sylvie" last="Rompre">Sylvie Rompre</name>
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<series><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Behavior</term>
<term>Diagnosis</term>
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<term>Rapid eye movement sleep</term>
<term>Sleep disorder</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Trouble du sommeil</term>
<term>Pathologie du   système nerveux</term>
<term>Diagnostic</term>
<term>Idiopathique</term>
<term>Sommeil paradoxal</term>
<term>Comportement</term>
<term>Electromyographie</term>
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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.</div>
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<fA08 i1="01" i2="1" l="ENG"><s1>Polysomnographic Diagnosis of Idiopathic REM Sleep Behavior Disorder</s1>
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<fA11 i1="01" i2="1"><s1>MONTPLAISIR (Jacques)</s1>
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<fA14 i1="05"><s1>Department of Neurology, Hôpital Gui de Chauliac, Inserm, U888, Université de Montpellier</s1>
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<fC01 i1="01" l="ENG"><s0>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.</s0>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Polysomnographic Diagnosis of Idiopathic REM Sleep Behavior Disorder

Polysomnographic Diagnosis of Idiopathic REM Sleep Behavior Disorder

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