Subclinical rhythmic electrographic discharge of adults (SREDA) in REM sleep

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• 作者：Fleming ; W. Elon ; Avidan ; Alon ; Malow ; Beth A.
• 关键词：Subclinical rhythmic electrographic discharge of adults ; Rapid eye movement sleep ; Polysomnogram ; Delta waves ; Obstructive sleep apnea
• 刊名：Sleep Medicine
• 出版年：2004
• 期刊代码：241_13899457
• 类别：med
• 出版时间：January, 2004
• 卷：5
• 期：1
• 页码：77-81
• 文件大小：732 K

摘要

We describe the first reported case of subclinical rhythmic electrographic discharge of adults (SREDA) during rapid eye movement (REM) sleep. This 48-year-old man, with a history of witnessed apneic spells, was sent for a baseline polysomnogram. Besides demonstrating obstructive sleep apnea, his study showed the occurrence of paroxysmal delta waves evolving into a theta frequency during REM sleep. A repeat polysomnogram with 16-channel electroencephalography confirmed SREDA in the bilateral temporal/parietal regions during REM sleep. This uncommon paroxysmal electrographic pattern should not be mistaken for seizure activity and is now recognized to occur in all stages of sleep, including REM.