Does the diagnosis of idiopathic Rapid Eye Movement Sleep Behavior Disorder require an overnight sleep study?
In an integrated health care system, in what sort of clinical settings do people receive their initial diagnosis of iRBD? Idiopathic Rapid Eye Movement Sleep Disorder (iRBD) is a sleep disorder characterized by dream re-enactment. RBD is referred to as idiopathic when it occurs in isolation (i.e. without a co-existing neurodegenerative disease diagnosis). A majority of iRBD patients will go on to receive a diagnosis of an a-synucleinopathy, a family of neurodegenerative disorders including Parkinson’s disease (PD) and Dementia with Lewy Bodies (DLB). A confirmed diagnosis of iRBD requires the use of video polysomnography (PSG), but screening surveys, such as the RBD Screening Questionnaire, have shown good comparative validity compared to PSG. In this project, we aim to test whether people who are diagnosed with RBD without a sleep study differ from those diagnosed after a sleep study.