What is REM sleep disorder?

Rapid eye movement (REM) sleep is characterized by atony in the upper and lower limbs, but in desynchronized sleep behavior disorder, when physically enacting dreams, there are sudden, forceful, and even violent movements of the arms and legs, accompanied by screaming or strange noises.

Normally, a little more than 20% of the total sleep in a night is desynchronized, and when the disorder appears, the brain nerve channels that do not allow muscle movement do not fulfill their function, which affects sleep quality progressively in intensity and duration.

On occasions, this disorder has been related to neurological conditions, such as multiple system atrophy, Lewy body dementia, and Parkinson’s disease.

Signs and symptoms REM sleep disorder

The characteristic symptoms that occur during the REM phase are:

Sudden and intense movements of arms and legs, or even jumps.
Strange sounds, such as screaming, guttural noises, unintelligible words, laughter, and profanity.
Ability to remember the theme of the dream in question.

Potential risks:

Narcolepsy.
Antidepressants.
Drug addiction.
Alcoholism.
Smoking.
Head injuries.
Men over 50 years old.
Parkinson’s disease.
Multiple system atrophy.
Stroke.
Lewy body dementia.

Diagnosis and treatment REM sleep disorder

Once the specialist analyzes your symptoms and clinical history, they will perform a physical and neurological examination to rule out other sleep disorders and establish an accurate diagnosis.

Likewise, it will question your partner or the person with whom you sleep, about your behavior during sleep, being able to channel you to a sleep study center to perform a polysomnography, with which they will be able to identify your behavior in the different sleep phases.

The treatment plan consists of the intake of drugs and the adoption of physical protection measures:

Drugs:

Melatonin nutritional supplement to reduce symptoms.
Clonazepam dosage to decrease symptoms, although side effects such as daytime sleepiness, balance problems, and worsening of obstructive sleep apnea are common.

Physical protections:

Put padded bars on the sides of the bed.
Clear the surrounding area of furniture.
Put padded protection on the windows.
Try to sleep in a separate bed or room while the symptoms are controlled.
Surround the bed with cushions or pillows.
Remove breakable objects or hazardous materials from the bedroom.

At the Neurological Center, a select group of highly trained and certified doctors in the various neurological specialties are ready to assist you with the quality and warmth that characterizes us.

Specialists

Nervous system specialties

Neurology
Neurosurgery
Spine surgery
Pediatric neurosurgery
Neurophysiology
Neuro-rehabilitation
Neuro-pathology
Interventional neuro-radiology
Neuropsychology
Neuro-oncology
Neuro-otology
Epilepsy
Neuro-ophthalmology
Neuroimaging

Related centers and departments

Neurology Center
High Specialty Surgery Center
Radiology and Molecular Imaging
Clinical Laboratory

Fuentes:

topdoctors.es
cun.es
mayocilinic.org
medlineplus.gov
msdmanuals.com
medigraphic.com
Díaz-Pacheco A, Moo-Estrella J. Calidad de sueño, trastorno conductual del sueño MOR y somnolencia diurna en adultos con y sin Parkinson. Arch Neurocien. 2021;26(2):20-25.
Pérez SIL, Quiñones ME. Trastornos del sueño en un escolar posterior al aislamiento social por la COVID-19. MediSan. 2021;25(01):142-151.
González NJE, Alfonso AM, Calzada DAI, et al. Trastornos del sueño en pacientes con enfermedad de Parkinson. Rev Cubana Neurol Neurocir. 2020;10(1):1-17.
Jiménez-Genchi A, Guarneros-Roniger DD, Barrera-Medina A, et al. Actualidades en las aplicaciones clínicas de la melatonina en trastornos del sueño. Rev Mex Neuroci. 2013;14(1):39-43.

How can we help you?

The dissemination of the content of this material is for informational purposes only and does not replace, under any circumstance or condition, a consultation with a specialist doctor, for which the ABC Medical Center is not responsible for the different use that may be given to it. If you require more information related to the subject, we suggest you contact the specialist doctor you trust directly.

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Comparison of COVID-19 vaccines

Pfizer-
BioNTech

Pfizer-BioNTech

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 95% after the second dose in the prevention of symptomatic COVID-19.

No Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 16 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine such as polyethylene glycol (PEG) or polysorbate.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, malaise, and swollen lymph nodes.

How long will it take for me to be protected and what does it protect me from?
After 14 days of having the complete scheme (after the administration of the 2nd dose), the protection period is still under study. It protects us from serious COVID-19 or requiring hospitalization.

Moderna

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 94.5% after the second dose in the prevention of symptomatic COVID-19.

Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 28 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 18 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, and swollen lymph nodes in the arm in which you received the injection.

Janssen/
Johnson
& Johnson

Janssen/ Johnson & Johnson

What is its effectiveness and what does it refer to?

Vector-based vaccine.
Effectiveness: 72.0% in the prevention of symptomatic COVID-19.
85% in the prevention of severe COVID-19.

Does not contain egg, latex, or preservatives./strong>

How many doses are needed?
Only one dose in needed.

What are the possible side effects of the vaccine?
Pain where the injection was given, headache, fatigue, muscle pain, chills, fever, and nausea.

How long will it take for me to be protected and what does it protect me from?
After 28 days of having the complete scheme (the last dose applied), the protection period is still under study. It protects us from 85% serious COVID-19 or requiring hospitalization.

AstraZeneca
and
Oxford
University

AstraZeneca and Oxford University

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 82% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 56 days apart (or up to 84 days apart, if necessary).

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, myalgia, arthralgia, and fever, which were mild to moderate in intensity and disappeared within 48 hours of vaccination.

Sputnik V

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 92% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

What is REM sleep disorder?

Signs and symptoms REM sleep disorder

Diagnosis and treatment REM sleep disorder

Specialists

Related centers and departments

Fuentes:

Index

Specialist in REM sleep disorder