Parasomnia Overlap Disorder Associated With Pontine Glioblastoma

J Korean Neurol Assoc > Volume 28(4); 2010 > Article

Journal of the Korean Neurological Association 2010;28(4): 304-307.

다리뇌 아교모세포종과 동반된 사건수면중복장애

양혜란, 박은경 박기덕 최경규 이향운

이화여자대학교 목동병원 신경과

Parasomnia Overlap Disorder Associated With Pontine Glioblastoma

Hyeran Yang

Department of Neurology, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea

Abstract

Parasomnia overlap disorder is characterized by coexisting rapid eye movement (REM) sleep behavior disorder and non-REM parasomnia. We report herein an 8-year-old boy with REM sleep behavior disorder, sleep talking, and confusional arousal. Polysomnography revealed REM sleep without atonia, and arousal disorder. Neurological examination revealed bilateral ptosis, lateral gaze palsy, facial palsy, vertical nystagmus, and dysmetria. A pontine glioblastoma was found on brain magnetic resonance imaging, which could have been responsible for his neurologic deficit and sleep problem. Key Words: REM sleep, Parasomnia, Pontine glioblastoma