梦中断:REM睡眠相关发作的特征和状态
Graham A McLeod1, Paul A Szelemej2,3, Darion Toutant4
1Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
概括
快速眼动 (REM) 睡眠期间的发作是罕见的,但这项研究确定了特定的特征和在REM睡眠中的状态的独特案例. 这些发现扩大了对睡眠期间的理解.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 在快速眼动 (REM) 睡眠期间,发作并不常见.
- 一些焦点患者在REM睡眠期间表现出增加的形排泄.
- 需要对REM睡眠发作进行系统的表征.
研究的目的:
- 系统地识别和描述在REM睡眠期间发生的发作.
- 为了调查REM睡眠发作的频率和表现.
- 描述在REM睡眠期间发生的独特病例.
主要方法:
- 审查了12个月的监测单位的入院情况.
- 在1秒间隔的电脑电图 (EEG) 时代中恢复了ictal和peri-ictal时期.
- 在3年内对患有REM睡眠的患者进行了图表审查.
主要成果:
- 在63名患者中,有3名患有REM睡眠发作.
- 一名患者在REM睡眠期间经历了连续的非性电图状态.
- 其他REM睡眠发作不常见,发生在N2睡眠的REM发作后,并呈现为轻微的性唤醒.
结论:
- 证实了REM睡眠发作的罕见性.
- 突出了患者异常值,异质睡眠对的影响.
- 报告了REM睡眠中第一个悖论性状态的病例.
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