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 14 - Violent sleep behavior resulting in subdural hemorrhage
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, follow-up, treatment, diagnosis, and the results of the procedures performed on a 73-year-old patient who complained of two recent violent dreams that resulted in significant injury. His past medical history included an anterior wall myocardial infarction, sinusitis and a remote history of tuberculosis. The patient was treated with clonazepam 1.0 mg every evening before sleep, with complete resolution of all violent dream-related behaviors over the following year. The MRI scan revealed a right subdural hematoma without mass effect, and a few small 2-3mm foci of deep white matter changes. The polysomnography (PSG) study revealed significant periodic limb movements. A follow-up assessment by a movement disorders specialist led to the diagnosis of Parkinson's disease. The patient's history and PSG analysis are classical for, and diagnostic of, REM-sleep behavior disorder (RBD), which is defined in ICSD-2 as a parasomnia associated with REM sleep.
Keywords
- Type
- Chapter
- Information
- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 92 - 100Publisher: Cambridge University PressPrint publication year: 2010
- 1
- Cited by