{"title":"孤立性快速眼动睡眠行为障碍患者的预后咨询。","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":"{\"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}","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}
[Prognostic Counseling in Patients with Isolated REM Sleep Behavior Disorder].
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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