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01-06-2012 | Original Communication

Investigation of autonomic function in idiopathic REM sleep behavior disorder

Authors: Birgit Frauscher, Takashi Nomura, Susanne Duerr, Laura Ehrmann, Viola Gschliesser, Gregor K. Wenning, Elisabeth Wolf, Yuichi Inoue, Birgit Högl, Werner Poewe

Published in: Journal of Neurology | Issue 6/2012

Abstract

Idiopathic REM sleep behavior disorder (iRBD) has been suggested as an early “pre-motor” stage of Parkinson’s disease (PD) in a significant proportion of cases. We investigated autonomic function in 15 consecutive iRBD patients and compared these findings to PD patients and healthy controls. All participants underwent cardiovascular autonomic function testing, and were rated on the COMPASS scale. Symptomatic orthostatic hypotension was present in two iRBD patients, two PD patients and none of the healthy controls. In the tilt table examination, blood pressure changes were similar between iRBD patients and healthy controls. In the PD group, blood pressure drops were more pronounced. In the orthostatic standing test, iRBD patients had higher blood pressure changes than healthy controls. Highest drops were found in PD. Valsalva ratio was lower in iRBD and PD compared to healthy controls. Total COMPASS score was higher in iRBD compared to healthy controls. Highest scores were found in PD. These results support the presence of autonomic dysfunction in iRBD. On several measures, dysfunction was intermediate between healthy controls and PD consistent with the concept that iRBD can be manifestation of synuclein-associated neurodegenerative disorders. Follow-up studies are needed to determine whether iRBD patients with dysfunction on several autonomic domains are at particular risk for developing one of these diseases.

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Title: Investigation of autonomic function in idiopathic REM sleep behavior disorder
Authors: Birgit Frauscher
Takashi Nomura
Susanne Duerr
Laura Ehrmann
Viola Gschliesser
Gregor K. Wenning
Elisabeth Wolf
Yuichi Inoue
Birgit Högl
Werner Poewe
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: Journal of Neurology / Issue 6/2012
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI: https://doi.org/10.1007/s00415-011-6298-0

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Investigation of autonomic function in idiopathic REM sleep behavior disorder

Abstract

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