"5" . . "0032-6739" . . "[FC79352BEE56]" . . . "Porucha chov\u00E1n\u00ED v REM sp\u00E1nku (RBD \u2013 REM Behavior Disorder) je onemocn\u011Bn\u00ED, p\u0159i n\u011Bm\u017E doch\u00E1z\u00ED ke ztr\u00E1t\u011B svalov\u00E9 atonie b\u011Bhem REM sp\u00E1nku. D\u016Fsledkem je v\u00EDce \u010Di m\u00E9n\u011B vyj\u00E1d\u0159en\u00E1 motorick\u00E1 aktivita avokalizace, kter\u00E9 souvis\u00ED s typicky \u017Eiv\u00FDmi sny. N\u00E1siln\u00E9 chov\u00E1n\u00ED p\u0159i pro\u017E\u00EDv\u00E1n\u00ED sn\u016F p\u0159edstavuje riziko nejen pro pacienta, ale i pro jeho spolunocle\u017En\u00EDka. Krom\u011B typick\u00E9 anamn\u00E9zy se diagnostika op\u00EDr\u00E1 o polysomnografick\u00E9 vy\u0161et\u0159en\u00ED s charakteristick\u00FDm n\u00E1lezem zv\u00FD\u0161en\u00E9 elektromyografick\u00E9 aktivity v REM f\u00E1zi sp\u00E1nku. Porucha m\u016F\u017Ee b\u00FDt prim\u00E1rn\u00ED (idiopatick\u00E1) \u010Di sekund\u00E1rn\u00ED. Sekund\u00E1rn\u00ED formy souvis\u00ED s u\u017E\u00EDv\u00E1n\u00EDm \u010Di odebr\u00E1n\u00EDm farmak nebo s jin\u00FDm sou\u010Dasn\u011B prob\u00EDhaj\u00EDc\u00EDm neurologick\u00FDm onemocn\u011Bn\u00EDm \u2013 nej\u010Dast\u011Bji s narkolepsi\u00ED (u mlad\u0161\u00EDch pacient\u016F), ve star\u0161\u00EDm v\u011Bku s Parkinsonovou nemoc\u00ED, multisyst\u00E9movou atrofi\u00ED \u010Di demenc\u00ED s Lewyho t\u011Bl\u00EDsky. Idiopatick\u00E1 forma RBD je z\u0159ejm\u011B u v\u00FDznamn\u00E9 \u010D\u00E1sti nemocn\u00FDch inici\u00E1ln\u00EDm st\u00E1diem pr\u00E1v\u011B t\u011Bchto neurodegenerativn\u00EDch onemocn\u011Bn\u00ED, \u010Dasto p\u0159edch\u00E1z\u00ED rozvoj jejich z\u00E1kladn\u00EDch symptom\u016F i o n\u011Bkolik let. Management nemoci zahrnuje zabezpe\u010Den\u00ED prost\u0159ed\u00ED, ve kter\u00E9m pacient sp\u00ED, a pod\u00E1v\u00E1n\u00ED clonazepamu ke zm\u00EDrn\u011Bn\u00ED p\u0159\u00EDznak\u016F onemocn\u011Bn\u00ED." . . "92" . . . . "\u0160onka, Karel" . "Porucha chov\u00E1n\u00ED v REM sp\u00E1nku \u2013 opom\u00EDjen\u00E1 diagn\u00F3za" . "4"^^ . "REM behavior disorder \u2013 a neglected diagnosis"@en . . . "Porucha chov\u00E1n\u00ED v REM sp\u00E1nku \u2013 opom\u00EDjen\u00E1 diagn\u00F3za" . . "RIV/00064165:_____/12:11892" . . . "3"^^ . "CZ - \u010Cesk\u00E1 republika" . . "Porucha chov\u00E1n\u00ED v REM sp\u00E1nku \u2013 opom\u00EDjen\u00E1 diagn\u00F3za"@cs . "Porucha chov\u00E1n\u00ED v REM sp\u00E1nku (RBD \u2013 REM Behavior Disorder) je onemocn\u011Bn\u00ED, p\u0159i n\u011Bm\u017E doch\u00E1z\u00ED ke ztr\u00E1t\u011B svalov\u00E9 atonie b\u011Bhem REM sp\u00E1nku. D\u016Fsledkem je v\u00EDce \u010Di m\u00E9n\u011B vyj\u00E1d\u0159en\u00E1 motorick\u00E1 aktivita avokalizace, kter\u00E9 souvis\u00ED s typicky \u017Eiv\u00FDmi sny. N\u00E1siln\u00E9 chov\u00E1n\u00ED p\u0159i pro\u017E\u00EDv\u00E1n\u00ED sn\u016F p\u0159edstavuje riziko nejen pro pacienta, ale i pro jeho spolunocle\u017En\u00EDka. Krom\u011B typick\u00E9 anamn\u00E9zy se diagnostika op\u00EDr\u00E1 o polysomnografick\u00E9 vy\u0161et\u0159en\u00ED s charakteristick\u00FDm n\u00E1lezem zv\u00FD\u0161en\u00E9 elektromyografick\u00E9 aktivity v REM f\u00E1zi sp\u00E1nku. Porucha m\u016F\u017Ee b\u00FDt prim\u00E1rn\u00ED (idiopatick\u00E1) \u010Di sekund\u00E1rn\u00ED. Sekund\u00E1rn\u00ED formy souvis\u00ED s u\u017E\u00EDv\u00E1n\u00EDm \u010Di odebr\u00E1n\u00EDm farmak nebo s jin\u00FDm sou\u010Dasn\u011B prob\u00EDhaj\u00EDc\u00EDm neurologick\u00FDm onemocn\u011Bn\u00EDm \u2013 nej\u010Dast\u011Bji s narkolepsi\u00ED (u mlad\u0161\u00EDch pacient\u016F), ve star\u0161\u00EDm v\u011Bku s Parkinsonovou nemoc\u00ED, multisyst\u00E9movou atrofi\u00ED \u010Di demenc\u00ED s Lewyho t\u011Bl\u00EDsky. Idiopatick\u00E1 forma RBD je z\u0159ejm\u011B u v\u00FDznamn\u00E9 \u010D\u00E1sti nemocn\u00FDch inici\u00E1ln\u00EDm st\u00E1diem pr\u00E1v\u011B t\u011Bchto neurodegenerativn\u00EDch onemocn\u011Bn\u00ED, \u010Dasto p\u0159edch\u00E1z\u00ED rozvoj jejich z\u00E1kladn\u00EDch symptom\u016F i o n\u011Bkolik let. Management nemoci zahrnuje zabezpe\u010Den\u00ED prost\u0159ed\u00ED, ve kter\u00E9m pacient sp\u00ED, a pod\u00E1v\u00E1n\u00ED clonazepamu ke zm\u00EDrn\u011Bn\u00ED p\u0159\u00EDznak\u016F onemocn\u011Bn\u00ED."@cs . . "159869" . "Plchov\u00E1, Lenka" . . "3"^^ . . "REM behavior disorder; parasomnia; injury during sleep; neurodegenerative diseases"@en . "REM behavior disorder \u2013 a neglected diagnosis"@en . . "P\u0159\u00EDhodov\u00E1, Iva" . "http://www.prolekare.cz/prakticky-lekar-clanek/porucha-chovani-v-rem-spanku-opomijena-diagnoza-38291?search=" . "I, S, Z(MSM0021620849)" . . . "REM behavior disorder (RBD) is characterized by loss of muscle atonia during REM sleep leading to more or less expressed motor activity and vocalization, typically in the context of vivid and colorful dreams often with dramatic content. Violent behavior represents a risk not only for the patient but also for his/her bed-partner. Besides a typical medical history, the diagnosis is based on polysomnographic examination with characteristically increased electromyographic activity in the REM phase of sleep. The disorder can be primary (idiopathic) or secondary. The secondary form is associated with use or withdrawing certain medications or with some neurological disorders, such as narcolepsy in young patients and neurodegenerative diseases in the elderly (Parkinson disease, Lewy body dementia, multiple system atrophy). The idiopathic form is supposed to be related to these neurodegenerative conditions and it can precede the development of their principal symptoms by several years. The management of this disorder includes securing the patient\u2019s sleeping environment \u2013 in order to avoid an injury - and pharmacological alleviation of symptoms by the use of clonazepam."@en . "Praktick\u00FD l\u00E9ka\u0159" . "Porucha chov\u00E1n\u00ED v REM sp\u00E1nku \u2013 opom\u00EDjen\u00E1 diagn\u00F3za"@cs . "RIV/00064165:_____/12:11892!RIV13-MZ0-00064165" . .