成人快速眼动睡眠期亚临床节律性脑电图放电（SREDA）
Subclinical rhythmic electrographic discharge of adults (SREDA) in REM sleep.
作者信息
Fleming W Elon, Avidan Alon, Malow Beth A
机构信息
Department of Neurology, University of Michigan, Michael S. Aldrich Sleep Disorders Center, UH Room 8D-8720, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0117, USA.
出版信息
Sleep Med. 2004 Jan;5(1):77-81. doi: 10.1016/j.sleep.2003.06.001.
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.
我们报告了首例在快速眼动（REM）睡眠期间出现成人亚临床节律性脑电图放电（SREDA）的病例。这名48岁男性有呼吸暂停发作史，被送去进行基线多导睡眠图检查。除了显示阻塞性睡眠呼吸暂停外，他的检查还显示在REM睡眠期间出现阵发性δ波并演变为θ频率。一项采用16通道脑电图的重复多导睡眠图检查证实，在REM睡眠期间双侧颞叶/顶叶区域存在SREDA。这种不常见的阵发性脑电图模式不应被误诊为癫痫活动，目前已知其在包括REM睡眠在内的所有睡眠阶段均可出现。
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