Vivre ses rêves

A 68-year-old patient without case history of parasomnia is sent for functional neurological explorations after episodes of nocturnal, sometimes violent, disorder. EEG, brain scan and clinical examination are normal. A video polysomnography is performed over two nights, recording multiple restlessness episodes: one the first night, three the second, including two with a somniloquy corresponding to the gestures of the sleeper or his description of his dream. These episodes are contemporaries of a recurrence of muscle tone in REM sleep, as seen on EMG. Clinical improvement is achieved with few drops of clonazepam before sleeping, until gradual disappearance of disorder. This case report shows a correlation between the patient gestures and the memory of dreams reported just after.