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Re: Somnambulism

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Posted by SSM on March 10, 2001 at 10:33:43:

In Reply to: Somnambulism posted by Sven Taagholt on March 09, 2001 at 03:14:13:

Doctor Taagholt, I would incude REM sleep behavior disorder in your differential diagnosis.
The report of dream content in association with these behaviors is an important finding. Polysomnography would show increased EMG activity
during REM sleep ( during periods which --as you know-- there is relative atonia of skeletal muscles) -- Schenck, Mahowald and Patterson described this in the journal Sleep in 1989.
Sleep recordings for these patients ideally should include surface EMG recordings of both upper and lower extremities. These patients have been shown to respond well to treatment with clonazepam. Please let us know if you require further assistance.
Sincerely,
Sharon Keenan, Ph.D.
Diplomate of the American Academy of Sleep Medicine

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