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REM sleep behavior disorder causes acting out vivid dreams — punching, kicking, shouting during sleep. It may precede neurodegenerative disease.
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REM sleep behavior disorder causes acting out vivid dreams — punching, kicking, shouting during sleep. It may precede neurodegenerative disease. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates rem sleep behavior disorder at Kathmandu Neurology Clinic & Cognitive Center, 117 Lal Durbar Marg, Kathmandu, Bagmati Province 44600, Nepal — evidence-based, medically reviewed.
RBD is a parasomnia characterized by loss of normal muscle atonia during REM sleep, causing patients to physically act out dreams — punching, kicking, shouting, jumping from bed. It is increasingly recognized as a prodromal marker of synucleinopathies (Parkinson's, dementia with Lewy bodies, multiple system atrophy).
Injury to self or bed partner
Episodes during REM sleep (later in night)
Management is individualized and discussed with benefits, limitations, and follow-up.
Synucleinopathy (Parkinson's, DLB, MSA — prodromal)
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Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-11-10
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Jitendra Prasad Yadav
Consultant Neurologist & Headache Specialist • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
This condition guide was medically reviewed by Dr. Jitendra Prasad Yadav.
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