Department of Psychiatry, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
Eur J Psychotraumatol. 2013;4. doi: 10.3402/ejpt.v4i0.18714. Epub 2013 Apr 1.
Sleep disturbance is a common characteristic of patients with post-traumatic stress disorder (PTSD). Besides the clinical descriptions of nightmares and insomnia, periodic limb movements (PLMs) are reported to co-occur in PTSD. Although the causal relationship between sleep disturbance and PTSD is not fully understood, sleep disturbance is an independent risk factor for the development and reactivation of PTSD. In contrast, the link between PTSD and REM sleep behaviour disorder (RBD) is less clear.
A case report is presented to illustrate differential diagnosis and time course of sleep disturbance in the context of PTSD.
A 63-year-old man who had been successfully treated for PTSD but who suffered the re-occurrence of disturbed sleep due to RBD and PLM, which was misdiagnosed as reactivation of PTSD.
RBD can mimic PTSD-related nightmares. Accurate diagnosis of sleep disturbance in PTSD is relevant for treatment and prognostic evaluation.
睡眠障碍是创伤后应激障碍（PTSD）患者的常见特征。除了噩梦和失眠的临床描述外，还报告周期性肢体运动（PLM）与 PTSD 同时发生。尽管睡眠障碍与 PTSD 之间的因果关系尚不完全清楚，但睡眠障碍是 PTSD 发展和再激活的独立危险因素。相比之下，PTSD 与 REM 睡眠行为障碍（RBD）之间的联系尚不清楚。
本文报告了一个病例，说明了 PTSD 背景下睡眠障碍的鉴别诊断和时间进程。
一名 63 岁男子 PTSD 已成功治疗，但因 RBD 和 PLM 导致睡眠再次受到干扰，误诊为 PTSD 再激活。
RBD 可以模拟 PTSD 相关的噩梦。准确诊断 PTSD 相关的睡眠障碍对于治疗和预后评估具有重要意义。
