Diagnostic REM sleep muscle activity thresholds in idiopathic REM sleep behavior disorder patients with and without obstructive sleep apnea

Highlights • We determined visual and automated REM sleep without atonia (RSWA) diagnostic cut-offs for idiopathic REM sleep behavior disorder (iRBD) patients with comorbid obstructive sleep apnea (OSA) during split-night polysomnography. • Combining analysis of phasic muscle activity burst duration...

Full description

Saved in:
Bibliographic Details
Published in:Sleep medicine 2016-05, Vol.33, p.23-29
Main Authors: McCarter, Stuart J., BA, St. Louis, Erik K., MD, Sandness, David J., BA, Duwell, Ethan J., BA, Timm, Paul C., BA, Boeve, Bradley F., MD, Silber, Michael H., MB, ChB
Format: Article
Language:English
Subjects:
Neurology
Sleep Medicine
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 29
container_issue
container_start_page 23
container_title Sleep medicine
container_volume 33
creator McCarter, Stuart J., BA
St. Louis, Erik K., MD
Sandness, David J., BA
Duwell, Ethan J., BA
Timm, Paul C., BA
Boeve, Bradley F., MD
Silber, Michael H., MB, ChB
description Highlights • We determined visual and automated REM sleep without atonia (RSWA) diagnostic cut-offs for idiopathic REM sleep behavior disorder (iRBD) patients with comorbid obstructive sleep apnea (OSA) during split-night polysomnography. • Combining analysis of phasic muscle activity burst durations with standard visual and automated methods improved sensitivity and specificity for iRBD diagnosis. • iRBD RSWA cutoffs were similar to those previously determined for PD-RBD, possibly indicating a similar underlying neurodegenerative process. • Our diagnostic RSWA cutoff values provide useful data to help physicians more accurately diagnose RBD in a clinical sleep medicine practice utilizing split-night polysomnography and conventional submentalis and anterior tibialis EMG lead placements.
doi_str_mv 10.1016/j.sleep.2016.03.013
format article
fullrecord <record><control><sourceid>elsevier_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5412719</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1389945716300132</els_id><sourcerecordid>1_s2_0_S1389945716300132</sourcerecordid><originalsourceid>FETCH-LOGICAL-e1109-207b8d3b1eb40023c3e8e933bb0134df5d471af44b127f55c1f60c9473afb1f3</originalsourceid><addsrcrecordid>eNpVkd1u1DAQhS0EoqXwBNz4BRI8sbNJbpBQKT9SERL03vLPpJklG0e2s2ifgZfGWyqhXs0ZzcynozmMvQVRg4Ddu32dZsS1bkpTC1kLkM_YJfRdX7Wt2D0vWvZDNai2u2CvUtoLAR306iW7aHqlhkHAJfvzkcz9ElImx3_cfOMPSH7YkpuRG5fpSPnE8xQxTWH2idPCyVNYTZ6enFiczJFC5J5SiB4jLyuES078N-WJm8U_iLBlHmzKcTvD8fHarAua1-zFaOaEbx7rFbv7dHN3_aW6_f756_WH2woBxFA1orO9lxbQKiEa6ST2OEhpbfmA8mPrVQdmVMpC041t62DcCTeoTprRwiiv2Pt_2HWzB_SueIxm1mukg4knHQzpp5OFJn0fjrpVBQjDfwAWk0fCqN1MCzkz_8ITpn3Y4lL8a9Cp0UL_PMdwTgF2skQgG_kXs1GK6A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Diagnostic REM sleep muscle activity thresholds in idiopathic REM sleep behavior disorder patients with and without obstructive sleep apnea</title><source>ScienceDirect Journals</source><creator>McCarter, Stuart J., BA ; St. Louis, Erik K., MD ; Sandness, David J., BA ; Duwell, Ethan J., BA ; Timm, Paul C., BA ; Boeve, Bradley F., MD ; Silber, Michael H., MB, ChB</creator><creatorcontrib>McCarter, Stuart J., BA ; St. Louis, Erik K., MD ; Sandness, David J., BA ; Duwell, Ethan J., BA ; Timm, Paul C., BA ; Boeve, Bradley F., MD ; Silber, Michael H., MB, ChB</creatorcontrib><description>Highlights • We determined visual and automated REM sleep without atonia (RSWA) diagnostic cut-offs for idiopathic REM sleep behavior disorder (iRBD) patients with comorbid obstructive sleep apnea (OSA) during split-night polysomnography. • Combining analysis of phasic muscle activity burst durations with standard visual and automated methods improved sensitivity and specificity for iRBD diagnosis. • iRBD RSWA cutoffs were similar to those previously determined for PD-RBD, possibly indicating a similar underlying neurodegenerative process. • Our diagnostic RSWA cutoff values provide useful data to help physicians more accurately diagnose RBD in a clinical sleep medicine practice utilizing split-night polysomnography and conventional submentalis and anterior tibialis EMG lead placements.</description><identifier>ISSN: 1389-9457</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2016.03.013</identifier><identifier>PMID: 28449901</identifier><language>eng</language><subject>Neurology ; Sleep Medicine</subject><ispartof>Sleep medicine, 2016-05, Vol.33, p.23-29</ispartof><rights>Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids></links><search><creatorcontrib>McCarter, Stuart J., BA</creatorcontrib><creatorcontrib>St. Louis, Erik K., MD</creatorcontrib><creatorcontrib>Sandness, David J., BA</creatorcontrib><creatorcontrib>Duwell, Ethan J., BA</creatorcontrib><creatorcontrib>Timm, Paul C., BA</creatorcontrib><creatorcontrib>Boeve, Bradley F., MD</creatorcontrib><creatorcontrib>Silber, Michael H., MB, ChB</creatorcontrib><title>Diagnostic REM sleep muscle activity thresholds in idiopathic REM sleep behavior disorder patients with and without obstructive sleep apnea</title><title>Sleep medicine</title><description>Highlights • We determined visual and automated REM sleep without atonia (RSWA) diagnostic cut-offs for idiopathic REM sleep behavior disorder (iRBD) patients with comorbid obstructive sleep apnea (OSA) during split-night polysomnography. • Combining analysis of phasic muscle activity burst durations with standard visual and automated methods improved sensitivity and specificity for iRBD diagnosis. • iRBD RSWA cutoffs were similar to those previously determined for PD-RBD, possibly indicating a similar underlying neurodegenerative process. • Our diagnostic RSWA cutoff values provide useful data to help physicians more accurately diagnose RBD in a clinical sleep medicine practice utilizing split-night polysomnography and conventional submentalis and anterior tibialis EMG lead placements.</description><subject>Neurology</subject><subject>Sleep Medicine</subject><issn>1389-9457</issn><issn>1878-5506</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNpVkd1u1DAQhS0EoqXwBNz4BRI8sbNJbpBQKT9SERL03vLPpJklG0e2s2ifgZfGWyqhXs0ZzcynozmMvQVRg4Ddu32dZsS1bkpTC1kLkM_YJfRdX7Wt2D0vWvZDNai2u2CvUtoLAR306iW7aHqlhkHAJfvzkcz9ElImx3_cfOMPSH7YkpuRG5fpSPnE8xQxTWH2idPCyVNYTZ6enFiczJFC5J5SiB4jLyuES078N-WJm8U_iLBlHmzKcTvD8fHarAua1-zFaOaEbx7rFbv7dHN3_aW6_f756_WH2woBxFA1orO9lxbQKiEa6ST2OEhpbfmA8mPrVQdmVMpC041t62DcCTeoTprRwiiv2Pt_2HWzB_SueIxm1mukg4knHQzpp5OFJn0fjrpVBQjDfwAWk0fCqN1MCzkz_8ITpn3Y4lL8a9Cp0UL_PMdwTgF2skQgG_kXs1GK6A</recordid><startdate>20160511</startdate><enddate>20160511</enddate><creator>McCarter, Stuart J., BA</creator><creator>St. Louis, Erik K., MD</creator><creator>Sandness, David J., BA</creator><creator>Duwell, Ethan J., BA</creator><creator>Timm, Paul C., BA</creator><creator>Boeve, Bradley F., MD</creator><creator>Silber, Michael H., MB, ChB</creator><scope>5PM</scope></search><sort><creationdate>20160511</creationdate><title>Diagnostic REM sleep muscle activity thresholds in idiopathic REM sleep behavior disorder patients with and without obstructive sleep apnea</title><author>McCarter, Stuart J., BA ; St. Louis, Erik K., MD ; Sandness, David J., BA ; Duwell, Ethan J., BA ; Timm, Paul C., BA ; Boeve, Bradley F., MD ; Silber, Michael H., MB, ChB</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e1109-207b8d3b1eb40023c3e8e933bb0134df5d471af44b127f55c1f60c9473afb1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Neurology</topic><topic>Sleep Medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McCarter, Stuart J., BA</creatorcontrib><creatorcontrib>St. Louis, Erik K., MD</creatorcontrib><creatorcontrib>Sandness, David J., BA</creatorcontrib><creatorcontrib>Duwell, Ethan J., BA</creatorcontrib><creatorcontrib>Timm, Paul C., BA</creatorcontrib><creatorcontrib>Boeve, Bradley F., MD</creatorcontrib><creatorcontrib>Silber, Michael H., MB, ChB</creatorcontrib><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McCarter, Stuart J., BA</au><au>St. Louis, Erik K., MD</au><au>Sandness, David J., BA</au><au>Duwell, Ethan J., BA</au><au>Timm, Paul C., BA</au><au>Boeve, Bradley F., MD</au><au>Silber, Michael H., MB, ChB</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic REM sleep muscle activity thresholds in idiopathic REM sleep behavior disorder patients with and without obstructive sleep apnea</atitle><jtitle>Sleep medicine</jtitle><date>2016-05-11</date><risdate>2016</risdate><volume>33</volume><spage>23</spage><epage>29</epage><pages>23-29</pages><issn>1389-9457</issn><eissn>1878-5506</eissn><abstract>Highlights • We determined visual and automated REM sleep without atonia (RSWA) diagnostic cut-offs for idiopathic REM sleep behavior disorder (iRBD) patients with comorbid obstructive sleep apnea (OSA) during split-night polysomnography. • Combining analysis of phasic muscle activity burst durations with standard visual and automated methods improved sensitivity and specificity for iRBD diagnosis. • iRBD RSWA cutoffs were similar to those previously determined for PD-RBD, possibly indicating a similar underlying neurodegenerative process. • Our diagnostic RSWA cutoff values provide useful data to help physicians more accurately diagnose RBD in a clinical sleep medicine practice utilizing split-night polysomnography and conventional submentalis and anterior tibialis EMG lead placements.</abstract><pmid>28449901</pmid><doi>10.1016/j.sleep.2016.03.013</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1389-9457
ispartof Sleep medicine, 2016-05, Vol.33, p.23-29
issn 1389-9457
1878-5506
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5412719
source ScienceDirect Journals
subjects Neurology
Sleep Medicine
title Diagnostic REM sleep muscle activity thresholds in idiopathic REM sleep behavior disorder patients with and without obstructive sleep apnea
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T01%3A57%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-elsevier_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Diagnostic%20REM%20sleep%20muscle%20activity%20thresholds%20in%20idiopathic%20REM%20sleep%20behavior%20disorder%20patients%20with%20and%20without%20obstructive%20sleep%20apnea&rft.jtitle=Sleep%20medicine&rft.au=McCarter,%20Stuart%20J.,%20BA&rft.date=2016-05-11&rft.volume=33&rft.spage=23&rft.epage=29&rft.pages=23-29&rft.issn=1389-9457&rft.eissn=1878-5506&rft_id=info:doi/10.1016/j.sleep.2016.03.013&rft_dat=%3Celsevier_pubme%3E1_s2_0_S1389945716300132%3C/elsevier_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-e1109-207b8d3b1eb40023c3e8e933bb0134df5d471af44b127f55c1f60c9473afb1f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/28449901&rfr_iscdi=true