Prevalence and Clinical Characteristics of Probable REM Behavior Disorder in Thai Parkinson's Disease Patients.
Patama GomutbutraKittika KanjanaratanakornNantaporn TiyapunPublished in: Parkinson's disease (2018)
The prevalence of pRBD among this study's PD patients was 48.5% (68 out of the total of 140). The median onset of RBD before PD diagnosis was 5 years (range: 0-11 years). By comparison of PD with pRBD and PD without pRBD, this study showed significant difference in the levodopa equivalent dose (742 mg/day versus 566 mg/day; p < 0.01), prevalence of symptomatic orthostatic hypotension (35.3% versus 8.3%; p < 0.01). The multivariable analysis found that pRBD is independently associated with orthostatic hypotension (OR = 5.02, p < 0.01). Conclusion. The findings regarding prevalence and main clinical features of PD with pRBD in this study were similar to those of a previous study of PD with polysomnogram- (PSG-) proven RBD. This study hypothesized that interviewing by adopted MSQ may be a cost-effective tool for screening RBD. Further studies with direct comparison are needed.