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Rhythmic movements and sleep paralysis in narcolepsy with cataplexy: a video-polygraphic study.

机译:发作性睡病伴瘫痪的节律性运动和睡眠麻痹:视频影像学研究。

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摘要

Sleep paralysis (SP), firstly reported as "day-mares" by Macnish [1], was observed in narcolepsy by Adie [2]. SP is a rapid eye movement (REM) sleep parasomnia often associated with fearful hallucinations [3]. It may occur alone (namely isolated SP) or in the framework of other sleep disorders and frequently arises from sleep onset REM periods (SOREMPs) in narcoleptic patients as well as in normal subjects [4,5]. Polysomnography shows the coexistence of wakefulness and REM sleep features: electroencephalo-graphic (EEG) alpha activity, atonia and REMs [4,5]. Due to the close similarities to cataplexy, SP was also called "cataplexie prehypnique, hypnique et post-hypnique" or "onirisme hallucinatoire cataplectique" when associated with hallucinations [6]. Few studies reported motion during SP: intermittent head shaking/leg movements in one narcoleptic patient [7]; an attempt to turn over in bed or, mostly, immobility in normal subjects [4]. We report the video-polygraphic aspects of SP of three newly diagnosed drug-naive narcolepsy with cataplexy (NC) patients.
机译:睡眠麻痹(SP),最初被Macnish [1]报道为“一日母马”,Adie [2]在发作性睡病中观察到。 SP是一种快速的眼球运动(REM)睡眠失眠症,通常与可怕的幻觉有关[3]。它可能单独发生(即孤立的SP),也可能在其他睡眠障碍的框架内发生,并且经常是由发作性癫痫患者以及正常受试者的睡眠发作快速眼动时期(SOREMPs)引起的[4,5]。多导睡眠图显示清醒和REM睡眠特征并存:脑电图(EEG)α活性,无力和REM [4,5]。由于与幻觉相似,SP与幻觉相关时也被称为“幻觉前催眠,催眠后催眠”或“幻觉幻觉” [6]。很少有研究报道SP期间的运动:一名麻醉性患者间歇性摇头/腿运动[7];试图翻过床或者在正常人中大多不动[4]。我们报告了三名新近诊断为单纯性发作性睡病与瘫痪(NC)患者的SP的视频影像学方面。

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