4.1 Article

REM alpha rhythm: Diagnostic for narcolepsy?

Journal

JOURNAL OF CLINICAL NEUROPHYSIOLOGY
Volume 23, Issue 3, Pages 254-257

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.wnp.0000201085.90977.60

Keywords

rapid eye movement (REM) sleep; alpha rhythm; narcolepsy; sleep paralysis; hypnagogic hallucinations; cataplexy

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A young man, in whom narcolepsy was subsequently diagnosed, had the simultaneous onset of quadriparesis and a rapid eye movement (REM)-steep polysomnographic pattern. During this REM-sleep pattern, a waking alpha EEG rhythm, appearing when he was asked to close his eyes, immediately attenuated when he was instructed to open his eyes, after which the REM-sleep pattern persisted. The juxtaposition of REM sleep patterns and reactive alpha rhythms are likely unique to sleep paralysis and may prove valuable in diagnosing narcolepsy.

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