{"title":"[Prognostic Counseling in Patients with Isolated REM Sleep Behavior Disorder].","authors":"Masayuki Miyamoto","doi":"10.11477/mf.188160960770030271","DOIUrl":null,"url":null,"abstract":"<p><p>Long-term follow-up studies have shown that middle-aged and elderly people with isolated REM sleep behavior disorder (RBD) have a high risk of developing alpha-synucleinopathy. In order to respond appropriately to these patients, it is necessary to confirm the diagnosis of RBD using video-polysomnography(v-PSG) and provide prognostic counseling that takes into account future life plans based on patient backgrounds and family conditions. This article provides an overview of prognostic counseling for isolated RBD, including a sleep specialist's perspective on disclosing the risks of phenoconversion associated with isolated RBD.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"77 3","pages":"271-279"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain and Nerve","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11477/mf.188160960770030271","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Long-term follow-up studies have shown that middle-aged and elderly people with isolated REM sleep behavior disorder (RBD) have a high risk of developing alpha-synucleinopathy. In order to respond appropriately to these patients, it is necessary to confirm the diagnosis of RBD using video-polysomnography(v-PSG) and provide prognostic counseling that takes into account future life plans based on patient backgrounds and family conditions. This article provides an overview of prognostic counseling for isolated RBD, including a sleep specialist's perspective on disclosing the risks of phenoconversion associated with isolated RBD.
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