Sleep in Movement Disorders

Sleep in Movement Disorders

Barcelona, Spain – January 30-31, 2015

Course DescriptionThe MDS Teaching Course "Sleep in Movement Disorders" takes place in Barcelona, Spain, January 30-31, 2015.

This teaching course was designed to introduce attendees to the main and most common sleep disorders (e.g., insomnia, hypersomnia, abnormal behaviors and sounds occurring in sleep) in the setting of patients with neurodegenerative movement disorders (e.g., Parkinson's disease, multiple system atrophy, dementia with Lewy bodies).

The aim was to provide an overview of sleep in movement disorders and also to give a general review of sleep as associated with OSA, narcolepsy and physiology. Other topics included sleep disorders that could be considered as movement disorders, such as restless legs syndrome and periodic leg movements in sleep.

Participants examined these sleep problems through interactive practical and teaching sessions given by sleep and movement specialists. Most sessions included interviews with real patients (and their bed partners when needed) and reviews of polysomnograms and their synchronized audiovisual recording of these and other patients.

Learning Objectives

At the conclusion of this activity, participants were able to accomplish the following:

  • Understand how to approach sleep problems in a movement disorder patient through clinical history, scales, questionnaires, actigraphy, video-polysomnography and multiple sleep latency test.
  • Overview the main sleep problems (e.g., insomnia, hypersomnia, REM sleep behavior disorder) and management that may occur in patients with movement disorders, with special emphasis on Parkinson disease.
  • Diagnose idiopathic REM sleep behavior disorder, its differential diagnosis and routine management and understand how idiopathic REM sleep behavior develops into a synucleinopathy with time.
  • Recognize, evaluate and manage nocturnal stridor in patients with multiple system atrophy and understand the role of polysomnography and laryngoscopy in the diagnosis, and CPAP and tracheostomy in the treatment.
  • Diagnose restless legs syndrome and understand how this can be distinguished from other sensory and motor complains occurring in Parkinson's disease and other movement disorders (e.g., central pain, rigidity, motor fluctuations, dystonia, etc). To learn its relationship with periodic leg movements in sleep and their clinical relevance.
Recommended Audience

This course was intended for movement disorders specialists, sleep disorders specialists, general neurologists, residents and fellows who have interest in the field.