2002
DOI: 10.1177/088307380201700304
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Rapid Eye Movement Sleep Behavior Disorder in Children With Autism

Abstract: We performed nocturnal polysomnography on 11 children with autism who had symptoms of disrupted sleep and nocturnal awakenings. We identified rapid eye movement (REM) sleep behavior disorder in 5 of these 11 patients. Since REM sleep behavior disorder typically affects elderly males with neurodegenerative diseases, the identification of this phenomenon in autistic children could have profound implications for our understanding of the neurochemical and neurophysiologic bases of autism. Further, accurate diagnos… Show more

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Cited by 143 publications
(57 citation statements)
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References 13 publications
(3 reference statements)
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“…In addition, the observed increased sleep latency may actually be related to difficulties with novelty and separation [Weiskop et al, 2005]. A more thorough examination of sleep architecture could point to specific aspects that are qualitatively altered in autism [Thirumalai et al, 2002]. There are only limited data regarding sleep latency, other behavioral aspects of sleep, or sleep architecture in autism; and no information regarding family members or twin pairs.…”
Section: Sleep Problemsmentioning
confidence: 99%
“…In addition, the observed increased sleep latency may actually be related to difficulties with novelty and separation [Weiskop et al, 2005]. A more thorough examination of sleep architecture could point to specific aspects that are qualitatively altered in autism [Thirumalai et al, 2002]. There are only limited data regarding sleep latency, other behavioral aspects of sleep, or sleep architecture in autism; and no information regarding family members or twin pairs.…”
Section: Sleep Problemsmentioning
confidence: 99%
“…5) Disordered sleep-wake cycles have been reported in persons with autism [81][82][83], and VIP is an important peptide in the suprachiasmatic nucleus of the hypothalamus where it is essential for the maintenance of sustained rhythm generation [119]. In addition, VIP in the amygdala has been implicated in rapid eye movement sleep [120] and rapid eye movement sleep disorder has been reported in children with autism [121]. 6) Results from examination of polymorphisms in the upstream region of the VPAC2 receptor gene suggest a potential link between this gene and the gastrointestinal and stereotypical behaviors in autistic persons [122].…”
Section: Vip In Neurodevelopmental Disorders Vip In Autismmentioning
confidence: 99%
“…In a relatively large fraction of the population in neurodevelopmental disorders, disturbances in the balance of excitation and inhibition are commonly identified [Rennie and Boylan, 2003], including seizures and subclinical spike wave activity, perturbations in arousal mechanisms, and broadly defined disruption of homeostatic processes, such as sleep-wake cycle. For example, compared to the typical population, frank epilepsy or infantile spasms has a far greater incidence in neurodevelopmental disorders (3-to 30-fold greater risk) such as autism, fragile X, or Angelman syndromes [Thirumalai et al, 2002;Tuchman and Rapin, 2002;Rennie and Boylan, 2003]. The temporal onset of seizures may vary with regard to syndrome, reflecting potentially different mechanisms that create susceptibility of interneuronal circuitry.…”
Section: Interneuron Pathogenesis: a Point Of Convergence In Autism Amentioning
confidence: 98%