Dr. Joyce K. Lee-Iannotti is a sleep neurologist in Phoenix, Arizona and is affiliated with multiple hospitals in the area. She has been in practice for nearly two decades with expertise in diagnosing and treatment for REM Sleep Behavior Disorder.

Rapid eye movement (REM) sleep behavior disorder is a sleep disorder in which you physically act out vivid, often unpleasant dreams with vocal sounds and sudden, often violent arm and leg movements during REM sleep — sometimes called dream-enacting behavior.

You normally don’t move during REM sleep, a normal stage of sleep that occurs many times during the night. About 20 percent of your sleep is spent in REM sleep, the usual time for dreaming, which occurs primarily during the second half of the night.

The onset of REM sleep behavior disorder is often gradual and it can get worse with time.

REM sleep behavior disorder may be associated with other neurological conditions, such as Lewy body dementia (also called dementia with Lewy bodies), Parkinson’s disease or multiple system atrophy.

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