REM Sleep Behaviour Disorder is a Risk Factor for Parkinson’s Disease -- MEDICA - World Forum for Medicine

REM Sleep Behaviour Disorder is a Risk Factor for Parkinson’s Disease

Photo: A young woman moving her arms while she sleeps

The new study is the third consecu-
tive work in five years about the
relationship between this disorder
and Parkinson’s disease;
© / Ingram
Vitantonio Cicorella

The first work showed in 2006 that 45 percent of patients who suffer this sleep disorder develop Parkinson’s disease and other neurodegenerative diseases caused by a lack of dopamine in the brain. The second article discovered that neuroimaging tests that measure dopamine in the brain, such as the brain SPECT, are useful to identify patients with REM sleep disorders with increased risk of developing a neurodegenerative diseases such as Parkinson’s disease.

The new study applied brain SPECT to conclude that the levels of dopamine in the brain are quickly lowering over the years in patients with REM sleep behaviour disorder. This neuroimaging technique becomes the first tool to detect the disease progression at an early stage.

The first author of the three articles is Doctor Àlex Iranzo, doctor from the Neurology Service at the Hospital Clínic of Barcelona, researcher at the Biomedical Research Institute of August Pi i Sunyer (IDIBAPS) and member of the Multidisciplinary Sleep Disorders Unit , and the senior authors were to Doctor Joan Santamaria and Doctor Eduard Tolosa, from the same institution.

The study involved comparing for three years the evolution of brain SPECT in 20 patients with REM disorder and 20 healthy controls. The neuroimaging technique measures the presence of dopamine in the substantia nigra, a part of the brain associated with learning and harmony of body movements. In Parkinson’s disease a deficiency of dopamine in the substantia nigra causes tremor, stiffness and movement slowness in patients.

Results show that after three years of monitoring the production of dopamine in the control group was reduced by eight percent due to age, while the group of REM sleep disorder patients experienced a reduction of 20 percent. Once the three year follow-up ended, three of 20 patients in the REM sleep disorder group had developed Parkinson’s disease and their dopamine reduction was around 30 percent.

The three works led by the IDIBAPS - Hospital Clínic of Barcelona team conclude that more efforts are needed to create neuroprotective drugs that prevent the progression from REM sleep behavior disorders to Parkinson’s disease.; Source: The Hospital Clínic of Barcelona