Ambra Stefani, MD, PhD, Medical University of Innsbruck, Innsbruck, Austria, discusses the significance of polysomnography in accurately diagnosing REM sleep behavior disorder (RBD). RBD is characterized by the manifestation of dream enactment behaviors during REM sleep, accompanied by increased muscular activity. Polysomnography plays a crucial role in providing a definitive diagnosis, as it helps exclude mimics and ensures a precise diagnosis of RBD. Dr Stefani emphasizes the ethical implications of this diagnosis and highlights the need for proper communication and support for patients. While screening questionnaires have been validated and can be helpful in identifying potential RBD cases, polysomnography remains essential for confirming the diagnosis. The potential utility of wearable and wearable devices as screening instruments has been shown, but their diagnostic capabilities are still being explored. This interview took place at the European Academy of Neurology (EAN) 2023 Congress in Budapest, Hungary.
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