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While rhythmic movement sequences defined by videopolysomnographic criteria were observed in 82.0% of patients (in wakefulness and in all sleep stages), no similar sequences were observed in controls. Patients had altered sleep continuity, with low sleep efficiency, increased wake time after sleep onset, and frequent periodic leg movements and apnea events. The severity of rhythmic movements was associated with disrupted nightime sleep, even after controlling for comorbid motor and respiratory events. Conclusions Rhythmic movement diso