Dangerous dreaming: Sleep specialist says rem behavior disorder likely underreported

(Medical Xpress)—A troubling sleep disorder that causes sleepers to physically act out their dreams by kicking, screaming or falling out of bed may be more common than reported, according to Loyola University Medical Center sleep specialist Dr. Nabeela Nasir.

The condition is called REM behavior disorder. The sleeper, usually a man, will kick, punch, scream, thrash about or fall out of bed, potentially injuring himself or his partner.

"I don't think we have a clear idea of how prevalent it is," Dr. Nasir said. "Patients don't report it and doctors don't ask about it."

Dr. Nasir would like to raise awareness of the disorder because sufferers often can be treated successfully with medications. And even when medications don't work, patients can prevent injuries to themselves and their partners by safe-proofing their bedrooms, Dr. Nasir said.

REM behavior disorder occurs during rapid-eye movement (REM) sleep, when dreams occur. Normally, a sleeper's muscles don't move during dreams. But this temporary paralysis doesn't occur in patients with REM behavior disorder. They physically act out vivid dreams in which they are, for example, running, fighting, hunting, warding off attackers, etc.

REM behavior disorder belongs to a class of sleeping disorders called parasomnias, which also includes sleep walking and eating while sleeping.
REM behavior disorder occurs most often in men, typically after age 60. Many patients eventually develop Parkinson's disease or other neurodegenerative disorders - but this does not happen to everyone.

Many patients can be successfully treated with a class of medications called benzodiazepines. One such drug is clonazepam, which works by decreasing in the brain. (Side effects may include daytime drowsiness and dependence.) , a hormone that helps to regulate the sleep-wake cycle, also is being studied as a treatment.

Dr. Nasir recommends safe-proofing the bedroom. For example: Sleep on a mattress on the floor; clear the room of furniture and objects that could cause injury, such as glass lamps; and sleep alone, if necessary.

Not all dream enactments are caused by REM . In some people, alcohol or antidepressants can trigger dream enactments, Dr. Nasir said. Patients who act out their dreams, or experience other , should see a specialist, Dr. Nasir said.

add to favorites email to friend print save as pdf

Related Stories

Study identifies how muscles are paralyzed during sleep

Jul 11, 2012

Two powerful brain chemical systems work together to paralyze skeletal muscles during rapid eye movement (REM) sleep, according to new research in the July 11 issue of The Journal of Neuroscience. The finding may help scient ...

Recommended for you

Jamaica Senate starts debate on pot decriminalization bill

Jan 30, 2015

Jamaica's Senate on Friday started debating a bill that would decriminalize possession of small amounts of pot and establish a licensing agency to regulate a lawful medical marijuana industry on the island where the drug ...

Can Lean Management improve hospitals?

Jan 30, 2015

Waiting times in hospital emergency departments could be cut with the introduction of Lean Management and Six Sigma techniques according to new research.

Research finds 90 percent of home chefs contaminate food

Jan 30, 2015

If you're gearing up for a big Super Bowl bash, you might want to consult the best food-handling practices before preparing that feast. New research from Kansas State University finds that most home chefs drop the ball on ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.