{Reference Type}: Journal Article {Title}: Rapid Eye Movements during REM Sleep Differentiate PSP from Parkinson's Disease. {Author}: Togni C;Carpinelli S;Valko PO;Bockisch C;Waldvogel D;Werth E;Weber KP;Valko Y; {Journal}: Mov Disord Clin Pract {Volume}: 0 {Issue}: 0 {Year}: 2024 Aug 7 {Factor}: 4.514 {DOI}: 10.1002/mdc3.14187 {Abstract}: BACKGROUND: Little is known about the characteristics and occurrence frequencies of rapid eye movements (REMs) during REM sleep in movement disorders.
OBJECTIVE: The aim of this study was to detect and characterize REMs during polysomnographically defined REM sleep as recorded by electro-oculography (EOG) in 12 patients with progressive supranuclear palsy (PSP), 13 patients with Parkinson's disease (PD) and 12 healthy controls.
METHODS: Using a modified EOG montage, we developed an algorithm that automatically detects and characterizes REMs during REM sleep based on their presumptive saccadic kinematics.
RESULTS: Compared to PD and healthy controls, REM densities and REM peak velocities were significantly reduced in PSP. These effects were most pronounced in vertical REMs.
CONCLUSIONS: Ocular motor dysfunction, one of the cardinal features of PSP, seems to be equally at play during REM sleep and wakefulness. For future studies, we provide a novel tool for the unbiased analysis of REMs during REM sleep in movement disorders.