Howl: Nightmare or REM Sleep Behavior Disorder?
Maria Jose Abenza-Abildúa1, Vanesa Lores-Gutiérrez1, Guadalupe Gutiérrez-Cueto1
1Neurology Department (MJA-A), Infanta Sofía University Hospital; Pneumology Department (VL-G, GG-C), Infanta Sofía University Hospital; Psychiatry Department (ES-G), Infanta Sofía University Hospital; and Neurosurgery Department (CP-L), La Paz University Hospital, Madrid, Spain.
Neurology. Clinical Practice
|March 9, 2023
Summary
This case study highlights a rare symptom of prolonged howling during REM sleep behavior disorder (RSBD). Polysomnography confirmed this unusual presentation, essential for diagnosing sleep disorders.
Area of Science:
- Neurology
- Sleep Medicine
- Parasomnias
Background:
- Nightmare disorder involves vivid dreams causing distress upon waking.
- REM sleep behavior disorder (RSBD) is a rare parasomnia characterized by dream enactment and loss of REM sleep atonia.
- RSBD affects 0.5% of individuals over 60, presenting with violent dream content and limb movements.
Related Concept Videos
REM Sleep Behavior Disorder
307
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
307
Nightmares and Night Terrors
141
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
141
Sleep-Wake Cycles
1.5K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.5K
Narcolepsy
171
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
171
Sleepwalking and Sleep Talking
221
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
221
Restless Leg Syndrome and Night Terrors
226
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
226


