REM sleep behaviour disorder (RBD): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

REM sleep behaviour disorder (RBD): clinical features. The mean onset age is about 60 years. Fully referenced neurology checklist.

Epidemiology

  • The mean onset age is about 60 years
  • Males account for >80% of cases

Physical features

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Language features

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Emotional features

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Semi-purposeful actions

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Dream-related symptoms

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Associated symptoms

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Complications

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References

  1. Boeve BF. REM sleep behaviour disorder: updated review of the core features, the RBD-neurodegenerative disease association, evolving concepts, controversies, and future directions. Ann N Y Acad Sci 2010; 1184:15-54.
  2. Trotti LM. REM sleep behaviour disorder in older individuals: epidemiology, pathophysiology, and management. Drugs Aging 2010; 27:457-470.
  3. Iranzo A, Santamaria J, Tolosa E. Idiopathic rapid eye movement sleep behaviour disorder: diagnosis, management, and the need for neuroprotective interventions. Lancet Neurol 2016; 15:405-419. 
  4. Olson EJ, Boeve BF, Silber MH. Rapid eye movement sleep behaviour disorder: demographic, clinical and laboratory findings in 93 cases. Brain 2000; 123:331-339.
  5. Abenza-Abildúa MJ, Lores-Gutiérrez V, Gutiérrez-Cueto G, Suárez-Gisbert E, Pérez-López C. Howl: nightmare or REM sleep behaviour disorder? Neurol Clin Pract 2023 (online ahead of print).
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