Near resolution of sleep related rhythmic movement disorder after CPAP for OSA

Chirakalwasan, Naricha; Hassan, Fauziya; Kaplish, Neeraj; Fetterolf, Judith L.; Chervin, Ronald D.

doi:10.1016/j.sleep.2009.02.005

Cited by 25 publications

(23 citation statements)

References 6 publications

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“…An association between RMD and other sleep disturbances, i.e. RLS, RBD, and OSAS, has been reported in literature [202][203][204][205]. PSG recordings show that RMD can occur in sleep wake transition periods and in all stages of sleep including REM, but most often occurs in NREM stage 2 of sleep [197,206].…”

Section: Diagnosismentioning

confidence: 86%

Sleep-related movement disorders

Merlino

Gigli

2011

Neurol Sci

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Several movement disorders may occur during nocturnal rest disrupting sleep. A part of these complaints is characterized by relatively simple, non-purposeful and usually stereotyped movements. The last version of the International Classification of Sleep Disorders includes these clinical conditions (i.e. restless legs syndrome, periodic limb movement disorder, sleep-related leg cramps, sleep-related bruxism and sleep-related rhythmic movement disorder) under the category entitled sleep-related movement disorders. Moreover, apparently physiological movements (e.g. alternating leg muscle activation and excessive hypnic fragmentary myoclonus) can show a high frequency and severity impairing sleep quality. Clinical and, in specific cases, neurophysiological assessments are required to detect the presence of nocturnal movement complaints. Patients reporting poor sleep due to these abnormal movements should undergo non-pharmacological or pharmacological treatments.

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Section: Diagnosismentioning

confidence: 86%

Sleep-related movement disorders

Merlino

Gigli

2011

Neurol Sci

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“…7 However, 1 of the 5 subjects had no history of SRRMD, which appeared in adulthood after weight gain. In another 2 subjects, attenuation and a subsequent reexacerbation of SRRMD occurred across age.…”

Section: Discussionmentioning

confidence: 98%

“…6,7,[10][11][12] Of these, 24 were assumed to be idiopathic, 7 associated with sleep apnea, 5 with REM sleep behavior disorder, and 3 with RLS or PLMS. Few cases were reported to improve with CPAP.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sleep-Related Rhythmic Movement Disorder and Obstructive Sleep Apnea in Five Adult Patients

Chiaro¹,

Maestri²,

Riccardi³

et al. 2017

Journal of Clinical Sleep Medicine

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Sleep-related rhythmic movements (SRRMs) are typical in infancy and childhood, where they usually occur at the wake-to-sleep transition. However, they have rarely been observed in adults, where they can be idiopathic or associated with other sleep disorders including sleep apnea. We report a case series of 5 adults with sleep-related rhythmic movement disorder, 4 of whom had a previous history of SRRMs in childhood. SRRMs mostly occurred in consolidated sleep, in association with pathological respiratory events, predominantly longer ones, especially during stage R sleep, and recovered in 1 patient with continuous positive airway pressure therapy. We hypothesize that sleep apneas may act as a trigger of rhythmic motor events through a respiratory-related arousal mechanism in genetically predisposed subjects. Keywords: body rocking, head rolling, obstructive sleep apnea, sleep-related rhythmic movement disorder Citation: Chiaro G, Maestri M, Riccardi S, HabaRubio J, Miano S, Bassetti CL, Heinzer RC, Manconi M. Sleep-related rhythmic movement disorder and obstructive sleep apnea in five adult patients.

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“…The significance of these leg movements remains undetermined. There have been brief recent reports of limb and body movements, both rhythmic and complex, on termination of apneas/hypopneas, eliminated by positive pressure therapy [28,29,30].…”

Section: Rhythmic Limb Movements In Sleep and Wakefulnessmentioning

confidence: 99%