REM sleep behavior disorder

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REM sleep behavior disorder

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Rapid eye movement (REM) sleep behavior disorder is a sleep disorder in which you physically act out vivid, often unpleasant dreams with vocal sounds and sudden, often violent arm and leg movements during REM sleep — sometimes called dream-enacting behavior.

You normally don’t move during REM sleep, a normal stage of sleep that occurs many times during the night. About 20 percent of your sleep is spent in REM sleep, the usual time for dreaming, which occurs primarily during the second half of the night.

The onset of REM sleep behavior disorder is often gradual and it can get worse with time.

REM sleep behavior disorder may be associated with other neurological conditions, such as Lewy body dementia (also called dementia with Lewy bodies), Parkinson’s disease or multiple system atrophy.

REM sleep behavior disorder care at Mayo Clinic

With REM sleep behavior disorder, instead of experiencing the normal temporary paralysis of your arms and legs (atonia) during REM sleep, you physically act out your dreams.

The onset can be gradual or sudden, and episodes may occur occasionally or several times a night. The disorder often worsens with time.

Symptoms of REM sleep behavior disorder may include:

If you have any of the symptoms above or are experiencing other problems sleeping, talk to your doctor.

Nerve pathways in the brain that prevent muscles from moving are active during normal REM or dreaming sleep, resulting in temporary paralysis of your body. In REM sleep behavior disorder, these pathways no longer work and you may physically act out your dreams.

Factors associated with the development of REM sleep behavior disorder include:

Recent evidence suggests that there may also be several specific environmental or personal risk factors for REM sleep behavior disorder, including occupational pesticide exposure, farming, smoking or a previous head injury.

Complications caused by REM sleep behavior disorder may include:

REM sleep behavior disorder care at Mayo Clinic

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REM sleep behavior disorder

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