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Published on: September 22, 2020
[Movement disorders in sleep]
1Sleep Lab, Meyer Children's Hospital, Rambam Medical Center and Technion, Israel Institute of Technology, Haifa, Israel.
Insights
Common sleep movements are usually harmless, but can signal underlying disorders affecting quality of life. This review covers diagnosis and treatment for various pathological sleep movement disorders.
Area of Science:
- Neurology
- Sleep Medicine
Context:
- Sleep movements are common, particularly in children.
- Non-quiet sleep can prompt medical consultation due to potential links with somatic or mental disorders.
- These movements can negatively impact a patient's quality of life.
Purpose:
- To review common and pathological movement disorders during sleep.
- To highlight recent advancements in understanding, diagnosing, and treating these conditions.
- To classify movement disorders based on sleep stage occurrence.
Summary:
- Movement disorders during sleep encompass disorders of arousal, sleep-wake transition disorders (including rhythmic movement disorders), and REM-related disorders.
- Restless Legs Syndrome, though often occurring during wakefulness, is a common movement disorder frequently linked to insomnia and Periodic Leg Movement Disorder of sleep.
- This review provides an overview of diagnosis and treatment strategies, emphasizing recent developments.
Impact:
- Improves clinical understanding of sleep-related movement disorders.
- Facilitates accurate diagnosis and effective treatment strategies.
- Enhances patient quality of life by addressing disruptive sleep movements.
Abstract:
Movements during sleep are quite common, especially among children and usually represent a benign and not intimidating condition. However, not infrequently, the presence of non-quiet sleep leads patients or their families to consult their family physician, since movements during sleep may be associated with several somatic or mental disorders, and may result in decreased quality of life. There are several clinical syndromes of pathological movements during sleep, which are usually classified according to the sleep stage at which they tend to occur. While the restless leg syndrome is one of the most common movement disorders, it usually occurs during wakefulness but commonly results in insomnia and is frequently associated with the periodic leg movement disorder of sleep. The movement disorders under parasomnias consists predominantly of disorders of arousal, sleep-wake transition disorders (rhythmic movement disorders), and rapid eye movement (REM) related disorders. This review briefly describes these movement disorders in sleep, and highlights their diagnosis and treatment. It emphasizes the recent development and novel knowledge in this field in recent years.
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