23/11

Question 1

What can happen to people’s sleep with neurodegenerative diseases?

How is it managed?

Answer 1

Can act our their dreams really viciously - due to increased REM sleep

reduce the levels of REM sleep with clonazepam

Question 2

What PD med can cause complex impulsive behaviours e.g. increased sexuality/shopping/eating

Answer 2

pramipexole

Question 3

D.D of tremors

Characterisitics of each

Answer 3

Essential
- both hands
- present when moving and resting
- idiopathic

Resting e.g. parkinsons
- improves on movement
- Parkinsons = pill rolling tremor

Cerebellar (damage caused by MS/alcoholism)
- high amplitude
- bypass finger to nose

Intention
- worsens on movement