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KMID : 0191120180330170130
Journal of Korean Medical Science
2018 Volume.33 No. 17 p.130 ~ p.130
Sleep Related Problems as a Nonmotor Symptom of Dentatorubropallidoluysian Atrophy
Kim Hye-Yun

Yun Ji-Young
Choi Kyoung-Gyu
Koo Hea-Soo
Han Hyun-Jeong
Abstract
Dentatorubropallidoluysian atrophy (DRPLA) is a neurodegenerative disease caused by an expansion of a cytosine-adenine-guanine (CAG) repeat encoding a polyglutamine tract in the atrophin-1 protein. Unlike other CAG repeat diseases, sleep related problems have not been reported in patients with DRPLA. There was a 65-year-old man and his family with DRPLA. They suffered from seizure, gait disturbance, and cognitive decline. The patients commonly showed dream enacting sleep disorder, insomnia. The results from overnight polysomnography showed rapid eye movement (REM) without atonia in patients with DRPLA. The man died 2 years after diagnosis and was subjected for brain autopsy. We report REM sleep behavior disorders in patients with DRPLA confirmed with polysomnography with pathological description of the patient.
KEYWORD
Dentatorubropallidoluysian Atrophy, Cerebellar Ataxia
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