REM行为障碍(RBD)可能是儿童发作性睡病的首发症状之一
REM behavior disorder (RBD) can be one of the first symptoms of childhood narcolepsy.
REM behavior disorder (RBD) can be one of the first symptoms of childhood narcolepsy.
超过三分之一的成年发作性睡病-猝倒患者会出现快速眼动(REM)睡眠行为障碍(RBD),而儿童期RBD极为罕见。我们报告了两例发作性睡病-猝倒女童(分别为9岁和7岁),其中RBD是该病的首发症状之一。通过夜间视频多导睡眠监测(v-PSG)发现了RBD的并存,并通过多次睡眠潜伏期试验(MSLT)中睡眠潜伏期缩短和多次睡眠始发REM期(SOREMs)确诊为发作性睡病。两名女童均为人类白细胞抗原(HLA)-DQB1*0602阳性,且其脑脊液(CSF)下丘脑分泌素水平(Hcrt-1)极低。
More than one in three adult patients suffering from narcolepsy-cataplexy experience rapid eye movement (REM) behavior disorder (RBD), while RBD in childhood is extremely rare. We present the cases of two girls (aged 9 and 7 years old) with narcolepsy-cataplexy, in whom RBD was one of the first symptoms of the disease. The coincidence of RBD was seen by nocturnal video-polysomnography (v-PSG), and narcolepsy was diagnosed from short sleep latency and multiple sleep onset REMs (SOREMs) during a multiple sleep latency test (MSLT). Both girls were human leukocyte antigen (HLA)-DQB1 *0602 positive, and their cerebrospinal fluid (CSF) hypocretin level (Hcrt-1) was extremely low.
Sona Nevsimalova, Iva Prihodova, David Kemlink, Ling Lin, Emmanuel Mignot. REM behavior disorder (RBD) can be one of the first symptoms of childhood narcolepsy.. Sleep medicine. 2007; doi:10.1016/j.sleep.2006.11.018.
Sona Nevsimalova, Iva Prihodova, David Kemlink, Ling Lin, Emmanuel Mignot (2007). REM behavior disorder (RBD) can be one of the first symptoms of childhood narcolepsy.. Sleep medicine. https://doi.org/10.1016/j.sleep.2006.11.018
Sona Nevsimalova, Iva Prihodova, David Kemlink, Ling Lin, Emmanuel Mignot. REM behavior disorder (RBD) can be one of the first symptoms of childhood narcolepsy.[J]. Sleep medicine, 2007 doi:10.1016/j.sleep.2006.11.018.
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