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Rapid eye movement sleep behavior disorder may be idiopathic or symptomatic and in both settings is highly associated with synucleinopathy neurodegeneration, especially Parkinson's disease, dementia with Lewy bodies, multiple system atrophy, and pure autonomic failure. Rapid eye movement sleep behavior disorder frequently manifests years to decades prior to overt motor, cognitive, or autonomic impairments as the presenting manifestation of synucleinopathy, along with other subtler prodromal \u201csoft\u201d signs of hyposmia, constipation, and orthostatic hypotension. Between 35% and 91.9% of patients initially diagnosed with idiopathic rapid eye movement sleep behavior disorder at a sleep center later develop a defined neurodegenerative disease. Less is known about the long\u2010term prognosis of community\u2010dwelling younger patients, especially women, and rapid eye movement sleep behavior disorder associated with antidepressant medications. Patients with rapid eye movement sleep behavior disorder are frequently prone to sleep\u2010related injuries and should be treated to prevent injury with either melatonin 3\u201012\u2009mg or clonazepam 0.5\u20102.0\u2009mg to limit injury potential. Further evidence\u2010based studies about rapid eye movement sleep behavior disorder are greatly needed, both to enable accurate prognostic prediction of end synucleinopathy phenotypes for individual patients and to support the application of symptomatic and neuroprotective therapies. Rapid eye movement sleep behavior disorder as a prodromal synucleinopathy represents a defined time point at which neuroprotective therapies could potentially be applied for the prevention of Parkinson's disease, dementia with Lewy bodies, multiple system atrophy, and pure autonomic failure. \u00a9 2017 International Parkinson and Movement Disorder Society<\/jats:p>","DOI":"10.1002\/mds.27018","type":"journal-article","created":{"date-parts":[[2017,5,17]],"date-time":"2017-05-17T01:36:38Z","timestamp":1494984998000},"page":"645-658","source":"Crossref","is-referenced-by-count":169,"title":["<scp>REM<\/scp>\n                    <scp>S<\/scp>\n                    leep\n                    <scp>B<\/scp>\n                    ehavior\n                    <scp>D<\/scp>\n                    isorder in\n                    <scp>P<\/scp>\n                    arkinson's\n                    <scp>D<\/scp>\n                    isease and\n                    <scp>O<\/scp>\n                    ther\n                    <scp>S<\/scp>\n                    ynucleinopathies"],"prefix":"10.1002","volume":"32","author":[{"given":"Erik K.","family":"St Louis","sequence":"first","affiliation":[{"name":"Center for Sleep Medicine, Mayo Clinic College of Medicine Rochester Minnesota USA"},{"name":"Department of Neurology Mayo Clinic College of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelica R.","family":"Boeve","sequence":"additional","affiliation":[{"name":"Center for Sleep Medicine, Mayo Clinic College of Medicine Rochester Minnesota USA"},{"name":"Department of Neurology Mayo Clinic College of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley F.","family":"Boeve","sequence":"additional","affiliation":[{"name":"Center for Sleep Medicine, Mayo Clinic College of Medicine Rochester Minnesota USA"},{"name":"Department of Neurology Mayo Clinic College of Medicine Rochester 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