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Activation of the motor cortex during phasic rapid eye movement sleep
Authors:Fabrizio De Carli MSc  Paola Proserpio MD  Elisa Morrone PhD  Ivana Sartori MD  Michele Ferrara PhD  Steve Alex Gibbs MD  PhD  Luigi De Gennaro PhD  Giorgio Lo Russo MD  Lino Nobili MD  PhD
Affiliation:1. Institute of Bioimaging and Molecular Physiology, Genoa Section, National Research Council, Genoa;2. C. Munari Center of Epilepsy Surgery, Niguarda Hospital, Milan;3. Clinical Neurophysiology Service, University of Genoa, Genoa;4. Department of Life, Health, and Environmental Sciences, University of L'Aquila, L'Aquila;5. Department of Psychology, Sapienza University of Rome, Rome, Italy
Abstract:When dreaming during rapid eye movement (REM) sleep, we can perform complex motor behaviors while remaining motionless. How the motor cortex behaves during this state remains unknown. Here, using intracerebral electrodes sampling the human motor cortex in pharmacoresistant epileptic patients, we report a pattern of electroencephalographic activation during REM sleep similar to that observed during the performance of a voluntary movement during wakefulness. This pattern is present during phasic REM sleep but not during tonic REM sleep, the latter resembling relaxed wakefulness. This finding may help clarify certain phenomenological aspects observed in REM sleep behavior disorder. Ann Neurol 2016;79:326–330
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