Sleep-Related Rhythmic Movement Disorder and Obstructive Sleep Apnea in Five Adult Patients

Chiaro, Giacomo; Maestri, Michelangelo; Riccardi, Silvia; Haba‐Rubio, José; Miano, Silvia; Bassetti, C.; Heinzer, Raphaël; Manconi, Mauro

doi:10.5664/jcsm.6778

Cited by 17 publications

(22 citation statements)

References 11 publications

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“…As for other sleep‐related movement disorders, screening for OSA may be indicated in select patients with bruxism though a clear relationship between sleep bruxism and OSA has not been established 976,977 . Finally, limited data indicate that in select adults with rhythmic movement disorder it may be appropriate to perform PSG to identify OSA 978 . (Table VII.I.2)…”

Section: Comorbidities Associated With Osamentioning

confidence: 99%

International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Section: Comorbidities Associated With Osamentioning

confidence: 99%

International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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“…For two out of three case reports, the risk of bias was assessed as moderate (Gharagozlou et al, 2009; Roethlisberger & Zubler, 2020), and for one, it was evaluated as high (Chirakalwasan et al, 2009). Among the case series, the risk of bias was assessed as high (Attarian et al, 2009), moderate (Yeh & Schenck, 2012), and low (Chiaro et al, 2017), respectively. For the descriptive, prospective cross‐sectional study by Mayer et al, the JBI critical appraisal checklist for studies reporting prevalence data was used for assessing the risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…The authors also pointed out the role of genetic predisposition associated with GABA (gamma-aminobutyric acid) receptor (Attarian et al, 2009). Genetic vulnerability to inherent rhythmicity during the sleep-to-wake transition was also highlighted (Chiaro et al, 2017;Chirakalwasan et al, 2009;Gharagozlou et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Sleep‐related rhythmic movement disorder in adults – A systematic review with a case report

Michałek-Zrąbkowska

Więckiewicz

Wichniak

et al. 2023

Journal of Sleep Research

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SummarySleep‐related rhythmic movement disorder is characterised by stereotyped and repetitive rhythmic movements involving large muscle groups during sleep with frequencies between 0.5 and 2 Hz. Most of the published studies on sleep‐related rhythmic movement disorder have focussed on children. Therefore, we performed a systematic review on this topic focussing on the adult population. The review is followed by a case report. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses 2020 guidelines. A total of seven manuscripts (n = 32 individuals) were included in the review. The clinical manifestation of body or head rolling predominated in the majority of included cases (53.13% and 43.75%, respectively). In n = 11 (34.37%) cases, a combination of rhythmic movements was observed. The literature review also revealed a wide spectrum of co‐morbidities: insomnia, restless leg syndrome, obstructive sleep apnea, ischaemic stroke, epilepsy, hypertension, alcohol and drug dependency, mild depression, and diabetes mellitus. The case report presented a 33‐year‐old female who was referred to the sleep laboratory due to a suspicion of sleep bruxism and obstructive sleep apnea. Although the patient was initially suspected of having obstructive sleep apnea and sleep bruxism, after conducting video‐polysomnography she met the criteria for sleep‐related rhythmic movement disorder as she presented body rolling, which were surprisingly most evident during the rapid eye movement sleep stage. In summary, the prevalence of sleep‐related rhythmic movement disorder among adults has not been determined yet. The present review and case report is a good starting point for discussion regarding rhythmic movement disorder in adults and further research on this topic.

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“…There are several identified associations (ie, comorbid autism, Smith-Magenis, Tourette's, bruxism, somniloquy, rapid eye movement sleep behavior disorder, OSA, insomnia, restless legs syndrome, and anxiety). 3,9,10 Ninety-two percent of children and adults with complaints of disturbed nighttime sleep had comorbid neurodevelopmental, affective, or sleep disorders. 11 Treatment is not necessary unless associated with symptoms.…”

Section: Discussionmentioning

confidence: 99%