Manni Raffaele, Terzaghi Michele
Unit of Sleep Medicine and Epilepsy, Institute of Neurology, IRCCS C. Mondino, Pavia, Italy.
Mov Disord. 2007 Sep 15;22(12):1797-800. doi: 10.1002/mds.21622.
Reported are two cases of video-PSG captured head-rolling occurring, in the context of REM Sleep Behavior Disorder (RBD) episodes, in two patients affected with idiopathic RBD and without past personal or familiar history of Rhythmic Movement Disorder during sleep. It has been speculated that the activation of neuronal pathways which underlie REM-related loss of motor control in RBD, may involve the Central Pattern Generator neuronal networks leading to the induction of Rhythmic Movements during RBD episodes, thereby allowing the re-emergence, in pathological conditions in later life, of a motor behavior typically seen in the early stage of life.
报告了两例视频多导睡眠图（video-PSG）记录到的头部滚动现象，这发生在快速眼动睡眠行为障碍（RBD）发作期间，两名特发性RBD患者，既往个人或家族均无睡眠期节律性运动障碍病史。据推测，RBD中与快速眼动相关的运动控制丧失所涉及的神经元通路激活，可能涉及中枢模式发生器神经网络，导致RBD发作期间出现节律性运动，从而在生命后期的病理状态下，重新出现一种通常在生命早期可见的运动行为。
