Psychiatry Portal: Noon Conference

Sleep Disorders in Psychiatry (10/20)

Noon Conference: October 20, 2020

Today we discussed a 44 year-old male who came for a consultation after reporting nightmares and falling from bed. The group discussed the role of military exposure/PTSD, but quickly pivoted to other differentials and parsing out NREM sleep arousal disorder from REM sleep behavior disorder, the role of medications in causing sleep disorders, and the correlation between sleep disorders and dementia/Parkinson's. 

Today's Post-Conference Reading articles:

1. Boeve BF, Silber MH, Ferman TJ. REM sleep behavior disorder in Parkinson's disease and dementia with Lewy bodies. J Geriatr Psychiatry Neurol. 2004 Sep;17(3):146-57. doi: 10.1177/0891988704267465. PMID: 15312278.
2. Chan PC, Lee HH, Hong CT, Hu CJ, Wu D. REM Sleep Behavior Disorder (RBD) in Dementia with Lewy Bodies (DLB). Behav Neurol. 2018 Jun 19;2018:9421098. doi: 10.1155/2018/9421098. PMID: 30018672; PMCID: PMC6029467.
3. Turner RS, D'Amato CJ, Chervin RD, Blaivas M. The pathology of REM sleep behavior disorder with comorbid Lewy body dementia. Neurology. 2000 Dec 12;55(11):1730-2. doi: 10.1212/wnl.55.11.1730. PMID: 11113232.
4. St Louis EK, Boeve BF. REM Sleep Behavior Disorder: Diagnosis, Clinical Implications, and Future Directions. Mayo Clin Proc. 2017 Nov;92(11):1723-1736. doi: 10.1016/j.mayocp.2017.09.007. Epub 2017 Nov 1. PMID: 29101940; PMCID: PMC6095693.
5. Institute of Medicine (US) Committee on Sleep Medicine and Research; Colten HR, Altevogt BM, editors. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington (DC): National Academies Press (US); 2006. 2, Sleep Physiology. Available from:
    

Additional Suggested Readings & Collections:

1. Parasomnias and related sleep disorders
2. Medication-induced Sleep Disorders
3. BOOK CHAPTER: Sleep Disorders. David Myland Kaufman MD, Howard L. Geyer MD, PhD and Mark J. Milstein MD. Kaufman's Clinical Neurology for Psychiatrists, Chapter 17, 361-388
4. BOOK CHAPTER: Hypersomnias of Central Origin. Richard B. Berry MD. Fundamentals of Sleep Medicine, Chapter 24, 451-479
5. REM and Lewy Body Dementia
6. Sexsomnia and legal implications