Differential consideration
REM sleep behaviour disorder
G47.52Sleep-Wake
Why consider it
REM sleep; recall of dreams; no amnesia; second half of night
Criteria and features to review
- A. Repeated episodes of arousal during sleep associated with vocalisation and/or complex motor behaviours
- B. These behaviours arise during REM sleep and therefore occur usually >90 min after sleep onset; are more frequent during the later portions of the sleep period; and uncommonly occur during daytime naps
- C. Upon awakening from these episodes, the individual is completely awake, alert, and not confused or disoriented
- D. Either of: REM sleep without atonia on polysomnographic recording; history of RBD + established synucleinopathy diagnosis
Questions to clarify
- Which documented criteria and exclusions are met for each possibility?
- What timeline, course, and functional change best distinguishes the alternatives?
- Are substance, medication, medical, developmental, and contextual explanations adequately assessed?