The video images of sleep attacks in Parkinson's disease

• Published in: Movement disorders Vol. 23; no. 2; pp. 288 - 290
• Main Authors: Hirayama, Masaaki, Nakamura, Tomohiko, Hori, Norio, Koike, Yasuo, Sobue, Gen
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 30.01.2008; Wiley
• Subjects: Aged; Antiparkinson Agents - adverse effects; Biological and medical sciences; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases; Disorders of Excessive Somnolence - chemically induced; Disorders of Excessive Somnolence - physiopathology; Female; Humans; levodopa; Medical sciences; narcolepsy; Neurology; Parkinson Disease - drug therapy; Parkinson's disease; pergolide; Sleep - drug effects; sleep attack; Video Recording - methods; Nervous system diseases; Parkinson's disease; Sleep disorder; Parkinson disease; Cerebral disorder; Pergolide; Sleep; Central nervous system disease; Degenerative disease; Narcolepsy; Sleep wake cycle; Levodopa; Neurological disorder; sleep attack; Extrapyramidal syndrome
• ISSN: 0885-3185; 1531-8257
• DOI: 10.1002/mds.21830

We describe a sleep attack, which was induced by taking excessive levodopa and pergolide, in a 73‐year‐old woman with Parkinson's disease. At the onset of the sleep attack, her head suddenly sagged and sometimes hit the table, but she did not notice these symptoms. Her family noticed that this sleep attack occurred when she began to speak slowly. Her family recorded this attack with a video camera. This sleep attack resolved with control of her medication. This is the first report of video images of a sleep attack due to excessive levodopa and a dopamine agonist. © 2007 Movement Disorder Society