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Updated: Apr 26, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
[REM sleep behavior disorders in Parkinson's disease]
E A Liashenko1, M G Poluéktov, O S Levin
1Kafedra nevrologii Rossiĭskoĭ meditsinskoĭ akademii postdiplomnogo obrazovaniia, Tsentr ékstrapiramidnykh zabolevaniĭ, Moskva.
REM sleep behavior disorder (RBD) involves acting out dreams due to lost muscle paralysis. This condition is a significant predictor of developing neurodegenerative diseases like Parkinson's.
Area of Science:
- Neurology
- Sleep Medicine
- Neurodegenerative Diseases
Context:
- REM sleep behavior disorder (RBD) is characterized by the loss of muscle atonia during REM sleep.
- This leads to patients physically acting out their dreams, posing risks of injury.
- Idiopathic RBD is increasingly recognized as a prodromal stage of synucleinopathies.
Purpose:
- To review the current literature on REM sleep behavior disorder (RBD).
- To highlight the strong association between idiopathic RBD and subsequent synuclein-mediated neurodegenerative diseases.
- To emphasize the potential of RBD as an early diagnostic marker.
Summary:
- Patients with idiopathic RBD exhibit a high risk (40-65% over 10 years) of developing synucleinopathies.
- These include Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy.
- RBD serves as a reliable prodromal marker for these neurodegenerative conditions.
Impact:
- RBD identification offers a window for early intervention and neuroprotective therapies.
- Understanding RBD advances the diagnosis and management of Parkinson's disease and related disorders.
- This research opens avenues for developing treatments to prevent or delay neurodegeneration.
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