A few nights ago he did that, and hit me in the eye and nose, I thought I would have a black eye. Thankfully, that didn't happen, but still hurts. In April the doc put him on Trazadone, which caused other side effects. After 50 mg of amitryptilin (sp?) he did fine until now. Any ideas?
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The sleep specialist gave him 1 MG of Lorazepam nightly and he has not had a sleep episode since. It has unfortunately developed into Lewey Body dementia and/or "sundowners".
I don't think REM disorder always turns into LBD, but I am not positive. I have known of children with REM Sleep Disorder. I hope this helps.
A sleep disorder known as RBD (REM Behavior Disorder) is strongly associated with Lewy Body Dementia (including Parkinson's Disease with Dementia). In this disorder the switch that normally keeps of still when we sleep is not functioning. So when the sleeper dreams he is being chased, his legs run in bed. When he strikes out at the bad guys his fists connects with the dresser or perhaps his bedmate's forehead.
In addition to having a broken "quiet" button, people with this disorder have dreams with repetitive themes. They are often running or fighting with animals or bad guys.
RBD may occur long before dementia appears (even decades, as it did with my husband) or sometime after the dementia does.
Other characteristics of LBD include
1) considerable fluctuation in cognition. Sometimes the thinking is normal or near-normal and other times (perhaps even on the same day) it is highly confused and impaired.
2) Hallucinations, especially in the early stages
3) Impaired depth perception
4) Inability to smell anything
5) Parkinson-like physical symptoms
If any of these sound familiar you might want to read more on LBD. One of the best sources is the Lewy Body Dementia Association website, LBDA.org
I really am not trying to diagnose your husband! But IF it turns out the sleep problem is RBD, it is very easily treatable, and that would be a good thing to find out! Also, if it turned out he has LBD, his doctors might want to adjust his treatment plan.
In any case, any change in symptoms in a person with dementia should be discussed with his doctor. I sincerely hope you find some good solutions!
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