Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Case 9 Extreme dreams
- Case 10 Odd sleep-related behaviors
- Case 11 Paralyzed and unable to breathe
- Case 12 Nightmares and numbness in the right arm
- Case 13 Screaming at night
- Case 14 Violent sleep behavior resulting in subdural hemorrhage
- Case 15 Amnestic nocturnal behavior
- Case 16 A terrified and terrifying scream
- Case 17 Frequent night-time wanderings
- Case 18 An adult sleepwalker who was sleep deprived
- Case 19 Seeking food in the night
- Case 20 The case of the missing loaf of bread
- Case 21 Gaining weight while asleep
- Case 22 Vivid images in the bedroom
- Case 23 Noisy breathing during sleep
- Case 24 Sexsomnia and obstructive sleep apnea
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Case 10 - Odd sleep-related behaviors
from Part IV - Parasomnias
Published online by Cambridge University Press: 10 November 2010
Edited by
Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Case 9 Extreme dreams
- Case 10 Odd sleep-related behaviors
- Case 11 Paralyzed and unable to breathe
- Case 12 Nightmares and numbness in the right arm
- Case 13 Screaming at night
- Case 14 Violent sleep behavior resulting in subdural hemorrhage
- Case 15 Amnestic nocturnal behavior
- Case 16 A terrified and terrifying scream
- Case 17 Frequent night-time wanderings
- Case 18 An adult sleepwalker who was sleep deprived
- Case 19 Seeking food in the night
- Case 20 The case of the missing loaf of bread
- Case 21 Gaining weight while asleep
- Case 22 Vivid images in the bedroom
- Case 23 Noisy breathing during sleep
- Case 24 Sexsomnia and obstructive sleep apnea
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Summary
This chapter presents the clinical history, examination, treatment, management, and the results of the procedures performed on a 27-year-old patient who was admitted for the evaluation of odd sleep-related behaviors. At the time of presentation, the patient had a consistent bedtime of 11.30 pm. Nocturnal polysomnography (PSG) with additional all-night 16-channel EEG running concomitantly with the PSG was obtained. There was no evidence of obstructive sleep apnea (OSA) with normal breathing and normal O2 saturation during sleep averaging 93% with a nadir of 90% and a desaturation index of zero. Given these results, a diagnosis of parasomnia overlap disorder was made. The ICSD-2 defines parasomnia overlap disorder as consisting of both REM-sleep behavior disorder (RBD) and a disorder of arousal. Prognosis is unknown, but careful follow-up is recommended to help with early detection of Parkinsonian disorder or other degenerative neurological disorders that are known to be associated with RBD.
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- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 67 - 73Publisher: Cambridge University PressPrint publication year: 2010