Rapid Eye Movement Sleep Behavior Disorder in Paraneoplastic Cerebellar Degeneration: Improvement with Immunotherapy

dc.contributor.authorVale, Thiago Cardoso
dc.contributor.authorPrado, Lucila Bizari Fernandes do [UNIFESP]
dc.contributor.authorPrado, Gilmar Fernandes do [UNIFESP]
dc.contributor.authorBarsottini, Orlando Graziani Povoas [UNIFESP]
dc.contributor.authorPedroso, Jose Luiz [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-07-26T17:30:26Z
dc.date.available2018-07-26T17:30:26Z
dc.date.issued2016
dc.description.abstractStudy Objectives: To report two female patients with paraneoplastic cerebellar degeneration (PCD) related to breast cancer that presented with rapid eye movement-sleep behavior disorder (RBD) and improved sleep symptoms with immunotherapy. Methods: The two patients were evaluated through clinical scale and polysomnography before and after therapy with intravenous immunoglobulin. Results: RBD was successfully treated with immunotherapy in both patients. Score on the RBD screening questionnaire dropped from 10 to 1 or 0, allied with the normalization of polysomnographic findings. Conclusions: A marked improvement in RBD after immunotherapy in PCD raises the hypothesis that secondary RBD may be an immune-mediated sleep disorder.en
dc.description.affiliationFed Univ Juiz de Fora UFJF, Fac Med, Dept Internal Med, Movement Disorders Unit,Neurol Serv,Univ Hosp, Juiz De Fora, MG, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Neurol, Div Gen Neurol, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Neurol, Ataxia Unit, Sao Paulo, Brazil
dc.description.affiliationUnifespDivision of General Neurology and Ataxia Unit, Department of Neurology, Universidade Federal São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent117-120
dc.identifierhttps://dx.doi.org/10.5665/sleep.5330
dc.identifier.citationSleep. Westchester, v. 39, n. 1, p. 117-120, 2016.
dc.identifier.doi10.5665/sleep.5330
dc.identifier.issn0161-8105
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/46068
dc.identifier.wosWOS:000367515700017
dc.language.isoeng
dc.publisherAmer Acad Sleep Medicine
dc.relation.ispartofSleep
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectImmunotherapyen
dc.subjectParaneoplastic cerebellar degenerationen
dc.subjectREM sleepen
dc.subjectREM-sleep behavior disorderRem-Sleepen
dc.subjectLimbic Encephalitisen
dc.subjectAntibodiesen
dc.subjectAtaxiaen
dc.titleRapid Eye Movement Sleep Behavior Disorder in Paraneoplastic Cerebellar Degeneration: Improvement with Immunotherapyen
dc.typeinfo:eu-repo/semantics/article
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