Table 1.
Variable | Case 1 | Case 2 | Case 3 | Case 4 |
Sex | M | F | M | F |
Duration of RBD symptoms | 4 | 2 | 6 | 6 |
Prodromal Interval Baseline to MSA (y) | 2.5 | 1.3 | 2.8 | 2.6 |
Family History | ||||
Parkinsonism | No | No | No | No |
Dementia | No | Yes | No | Yes |
RBD Symptoms | No | No | No | No |
Sleep Variables | ||||
Tonic REM % | 43 | 45 | 25 | 52 |
Phasic REM % | 34 | 39 | 14 | 32 |
Apnea-Hypopnea Index | 0.9 | 12.9 | N/A | 0.8 |
Other Sleep Symptoms (self-report) | Insomnia | Insomnia | Insomnia | Mild Somnolence |
Insomnia Severity Index | 15 | 23 | 18 | 9 |
Epworth Sleepiness Scale | 3 | 7 | 7 | 9 |
Pittsburgh Sleep Quality Index | 10 | 13 | 10 | 6 |
Motor Variables | ||||
UPDRS Part III | 1 | 9 | 0 | 0 |
UPDRS Part II | 2 | 3 | 0 | 0 |
Alternate Tap Test (normal ∼> 175) | 239 | 197 | 194 | 162 |
Purdue PegBoard (normal ∼> 10) | 12 | 13 | 13 | 11.5 |
Timed Up and Go (s) | 5 | 7 | 5.5 | 8.5 |
Cognition | ||||
MoCA / 30 | 27 | 27 | 27 | 27 |
MCI – neuropsychologic exam | Normal | Normal | Normal | MCI multiple domain |
Autonomic function | ||||
Orthostatic Symptom Score | 1 | 0 | 0 | 0 |
Systolic Blood Pressure drop (mmHg) | 2 | –2 | 0 | –4 |
Urinary Dysfunction Score | 0 | 2 | 2 | 1 |
Erectile Dysfunction Score | 0 | N/A | 1 | N/A |
Constipation Score | 0 | 0 | 0 | 0 |
Bowel movement Frequency / week | 7 | 7 | 7 | 10 |
Beck Depression Inventory | N/A | 9 | 10 | 11 |
Beck Anxiety Inventory | 9 | 2 | 1 | N/A |
UPSIT result | 11 (Normal) | 12 (Normal) | 9 (Normal) | 10 (Normal) |
Color Vision (FM-100 score) | Normal (8) | Abnormal (164) | Abnormal (168) | Normal (128) |
MoCA, Montreal Cognitive Assessment; MCI, mild cognitive impairment; UPSIT, University of Pennsylvania Smell Identification Test (12-item cross-cultural version); FM-100, Farnsworth-Munsell 100 Hue test; UPDRS, Unified Parkinson Disease Rating Scale; RBD, REM sleep behavior disorder; MSA, multiple system atrophy.