수면정신생리

수면정신생리 (12권2호 139-143)

Actigraphic Evaluation of Treatment Responses in Periodic Limb Movements in Sleep Patient：A Case Study

활동기록기를 이용한 주기성사지운동증 환자의 치료 반응 평가：증례 보고

Shin, Hong-Beom;Kim, Eui-Joong;

Department of Psychiatry, Eulji University School of Medicine, and Division of Sleep Study, Department of Neuropsychiatry, Eulji General Hospital;Department of Psychiatry, Eulji University School of Medicine, and Division of Sleep Study, Department of Neuropsychiatry, Eulji General Hospital;

Abstract

Periodic limb movements in sleep (PLMS) have been diagnosed easily by nocturnal polysomnography (NPSG) and treated effectively with dopamine receptor agonist, benzodiazepine and opioid. However, few reports have objectively assessed the treatment responses. We treated a PLMS patient with clonazepam and pramipexole, and evaluated their efficacy with actigraphy. Clonazepam improved sleep quality without reducing frequency of limb movements, and pramipexole reduced frequency of limb movements without improving sleep quality, results which are consistent with previous study findings. Actigraphy proved useful in evaluation of treatment response of PLMS.

Keywords

Periodic limb movements in sleep (PLMS);Actigraphy;Sleep;