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It is known that a pre-clinical stage may precede the full-fledged form of REM sleep behavior disorder (RBD) and that somniloquy, yelling and limb jerking may be prodromes of RBD. In the present paper, the case of a woman exhibiting both somniloquy and daytime inhibition of speech is discussed. Clinical and polysomnographic findings were consistent with the dual diagnosis of progressive supranuclear palsy (PSP) and preclinical RBD. Severe akinesia and supranuclear palsy of phonation are postulated as likely mechanisms for the inhibition of speech, whereas the overexcitation of the motor system by the RBD process seemed to account for the sleeptalking episodes.
Sleep Wake Disorders, Electromyography, Polysomnography, Sleep, REM, Electroencephalography, Speech Disorders, Humans, Female, Sleep Stages, Supranuclear Palsy, Progressive, Wakefulness, Aged
Sleep Wake Disorders, Electromyography, Polysomnography, Sleep, REM, Electroencephalography, Speech Disorders, Humans, Female, Sleep Stages, Supranuclear Palsy, Progressive, Wakefulness, Aged
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 0 | |
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influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |