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 15 - Amnestic nocturnal behavior
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 38-year-old female patient who was admitted to a university sleep disorders center to address amnestic nocturnal behavior. She was a friendly, non-dysmorphic patient who cooperated throughout the examination. Her vital signs were normal except for a BMI of 26 kg/m2 and borderline systolic hypertension. Her mood and affect were bright and congruent. In particular, there was no evidence on examination of subtle changes suggestive of a dementing illness or a Parkinsonian syndrome. An EEG carried out in 2005 and 2009 demonstrated normal awake and drowsy responses. An MRI carried out in 2009 showed normal brain. Polysomnography (PSG) showed that sleep was initiated without a sedativehypnotic. A diagnosis was made of mixed NREM parasomnia characterized by confusional arousals, sleepwalking (with sleepdriving), sleep-related eating disorder, and sexsomnia exacerbated by zolpidem.
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- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 103 - 109Publisher: Cambridge University PressPrint publication year: 2010