4.6 Review

Clinical Significance of REM Sleep Behavior Disorders and Other Non-motor Symptoms of Parkinsonism

Journal

NEUROSCIENCE BULLETIN
Volume 33, Issue 5, Pages 576-584

Publisher

SPRINGER
DOI: 10.1007/s12264-017-0164-8

Keywords

Parkinson's disease; Rapid eye movement sleep behavior disorder; Risk factors; Parkinsonism

Categories

Funding

  1. National Natural Science Foundation of China [91649114]
  2. Jiangsu Provincial Special Program of Medical Science, China [BL2014042]
  3. Jiangsu Provincial Medical Key Discipline Project
  4. Suzhou Clinical Research Center of Neurological Disease [Szzx201503]
  5. Jiangsu Province Ordinary University Professional Degree Graduate Practice Innovation, China [SJZZ16-0242]
  6. Priority Academic Program Development of Jiangsu Higher Education Institutions, China

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Rapid eye movement sleep behavior disorder (RBD) is one of the most common non-motor symptoms of parkinsonism, and it may serve as a prodromal marker of neurodegenerative disease. The mechanism underlying RBD is unclear. Several prospective studies have reported that specific non-motor symptoms predict a conversion risk of developing a neurodegenerative disease, including olfactory dysfunction, abnormal color vision, autonomic dysfunction, excessive daytime sleepiness, depression, and cognitive impairment. Parkinson's disease (PD) with RBD exhibits clinical heterogeneity with respect to motor and non-motor symptoms compared with PD without RBD. In this review, we describe the main clinical and pathogenic features of RBD, focusing on its association with other non-motor symptoms of parkinsonism.

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