“…With long term follow-up, more than 80% of individuals with idiopathic RBD developed either Parkinson's disease (PD), dementia with Lewy bodies (DLB) or multiple system atrophy (MSA) ,Schenck, et al, 2013. It was suggested that RBD may define a subtype of PD patients (Fereshtehnejad, et al, 2015,Gagnon, et al, 2004 with cognitive decline (Gagnon, et al, 2009,Vendette, et al, 2007, dementia (Anang, et al, 2014), hallucinations (Sixel-Doring, et al, 2011) and autonomic dysfunction (Postuma, et al, 2008), as compared to PD patients without RBD. In addition, pathological studies in brains of PD patients with and without RBD demonstrated a more widespread -synuclein accumulation in those associated with RBD .…”