From: Actigraphy as a diagnostic aid for REM sleep behavior disorder in Parkinson’s disease
A | Presence of REM sleep without atonia; the EMG finding of excessive amounts of sustained or intermittend elevation of sub-mental EMG tone or excessive phasic submental or (upper or lower) limb EMG twitching. |
B | At least one of the following is present: |
I. Sleep related injurious, or disruptive behaviors by history | |
II. Abnormal REM sleep behaviors documented during PSG monitoring | |
C | Absence of EEG epileptiform activity during REM sleep unless RBD can be clearly distinguished from any concurrent REM sleep-related seizure disorder. |
D | The sleep disturbance is not better explained by any other sleep disorder, medical or neurological disorders, mental disorders, medication use, or substance abuse |