We present an interesting case of narcolepsy with parasomnia and RBD in a teenage girl and discuss the development and pathophysiology of motor dyscontrol in narcolepsy.
Schenck CH, Bundlie SR, Ettinger MG, Mahowald MW. Chronic behavioral disorders of human REM sleep: a new category of parasomnia. Sleep 1986; 9:293-308.
Schenck CH, Mahowald MW. Motor dyscontrol in narcolepsy:rapid-eye-movement (REM) sleep without atonia and REM sleep behaviour disorder. Ann Neurol 1992; 32:3–10.
Yves Dauvilliers, MD, PhD; Jacques Montplaisir, MD, PhD et al REM Sleep Characteristics in Narcolepsy and REM Sleep Behavior Disorder SLEEP, Vol. 30, No. 7, 2007
Carlos H. Schenck MD1 and Mark W. Mahowald: REM Sleep Behavior Disorder: Clinical, Developmental, and Neuroscience Perspectives 16 Years After Its Formal Identification in SLEEP. SLEEP, Vol. 25, No. 2, 2002
ICSD—International classification of sleep disorders: diagnostic and coding manual. Diagnostic Classification Steering Committee.
Schenck CH, Boyd JL, Mahowald MW. A parasomnia overlap disorder involving sleepwalking, sleep terrors, and REM sleep behavior disorder in 33 polysomnographically confirmed cases. Sleep 1997;972-81.
Mayer G, Meier-Ewert K. Motor dyscontrol in sleep of narcoleptic patients (a lifelong development?). J Sleep Res 1993; 2:143–8.