Shy-Drager syndrome (SDS) is associated with a myriad of autonomic and neurologic impairments, including sleep dis turbances. A review of the literature reveals that there are no reports of SDS presenting with an abnormality of sleep. The following case report describes a patient who was diagnosed with SDS approximately one decade after initially presenting with a progressive, polysomnographically confirmed disturbance of sleep— specifically, an REM behavioral disorder (RBD).
Get full access to this article
View all access options for this article.
References
1.
Shy GM, Drager GA: A neurologic syndrome associated with orthostatic hypotension: A clinico-pathologic study. Arch Neurol1960; 2:511-527.
2.
Quinn N.: Multiple system atrophy—the nature of the beast. J Neurol Neurosurg Psychiatry1989; 52:78-89.
3.
Briskin JG, Lehrman KL, Guilleminault C.: Shy-Drager syndrome and sleep apnea, in Guilleminault C, Dement W (eds): Sleep Apnea Syndromes. New York, Alan R. Liss, 1978, pp 317-322.
4.
Lehrman KL, Guilleminault C., Schroeder JS, et al: Sleep apnea syndrome in a patient with Shy-Drager syndrome. Arch Intern Med1978; 138:206-209.
5.
Martinelli P. , Coccagna G., Rizzuto N., et al: Changes in systemic arterial pressure during sleep in Shy-Drager syndrome. Sleep1981; 4(2):139-146.
6.
Shimizu T., Sugita Y., lijima S., et al: Sleep study in Shy-Drager syndrome. Clin Neurol1981; 21:218-227.
7.
Pedley TA, Guilleminault C.: Episodic nocturnal wanderings responsive to anticonvulsant drug therapy. Arch Neurol1977; 2:30-35.
8.
Folstein MF, Folstein SE, McHugh PR: "Mini mental state": A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res1975; 12:189-198.
9.
Mahowald MW, Schenk CH: REM sleep behavior disorder, in Kryger MH , Roth T, Dement WC (eds): Principles and Practice of Sleep Medicine . Philadelphia, WB Saunders, 1989, pp 389-401.
10.
Schenk CH, Bundlie SR, Etting MG, et al: Chronic behavioral disorders of human REM sleep: A new category of oarasomnia. Sleep1986;9:293-308.
11.
Schenk CH, Bundlie SR, Patterson AL, et al: Rapid eye movement sleep behavior disorder. JAMA1987; 257:1786-1789.
12.
Sforza E., Zuccon M., Petronelli L., et al: REM sleep behavior disorder. Eur Neruol1985;28:295-300.
13.
Shimizu T., Sugita Y., Iijima S., et al: Sleep study in patients with spinocerebellar degeneration and related diseases, in Koella WP (ed): Sleep 1980. Circadian Rhythms, Dreams, Noise and Sleep, Neurophysiology, Therapy. Basal, S Karger, 1989, pp 435-437.
14.
Shimizu T.: A polygraphic study of nocturnal sleep in degenerative diseases—A possible mechanism of nocturnal delirium in patients with organic brain condition. Adv Neurol Sci1985; 29:154-177.
15.
Reynolds CF , Kupfer DJ, Taska LS, et al: Sleep of healthy seniors: A revisit. Sleep1985; 8(1):20-29.
