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Tonic activity of submental muscle denoted indicating REM sleep without atonia (polysomnogram)

A polysomnographic recording of increased REM tonic activity (denoted by purple arrow) in chin EMG lead for greater than half of the 30-second epoch. (Contributed by Dr. Muna Irfan.)

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  • Idiopathic Lewy body disease (dementia with Lewy body disease)
  • Multiple sclerosis
  • Multiple system atrophy
  • Narcolepsy
  • Nightmare disorder
  • Parasomnia overlap disorder
  • Parkinson disease
  • Shy-Drager syndrome
  • Sleepwalking
  • Spinocerebellar ataxia type 3 (Machado-Joseph disease)
  • Synucleinopathies
  • Voltage-gated potassium channel antibody-associated limbic encephalitis