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
- Part V Sleep-related epilepsy
- Case 25 The anxious hitting sleeper
- Case 26 Bad dreams
- Case 27 Sleepwalking or seizing?
- Case 28 Seizure, parasomnia or behavioral disorder?
- Case 29 Sounds of choking at night
- Case 30 Fighting in sleep
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Case 30 - Fighting in sleep
from Part V - Sleep-related epilepsy
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
- Part V Sleep-related epilepsy
- Case 25 The anxious hitting sleeper
- Case 26 Bad dreams
- Case 27 Sleepwalking or seizing?
- Case 28 Seizure, parasomnia or behavioral disorder?
- Case 29 Sounds of choking at night
- Case 30 Fighting in sleep
- 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 discusses the case of a 42-year-old man who presented with a 2-year history of events of yelling and fighting in his sleep that were brought to his attention by his wife. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. When evaluating patients with nocturnal events, clinicians may find a sleep diary helpful in defining the frequency and behavioral characteristics. Further evaluation by video- polysomnography (PSG) is indicated for individuals with potential for injury, atypical features or symptoms of other sleep disorders. For events of much lower frequency, a video-PSG with full EEG recording would have provided some information regarding the presence of interictal discharges and other potential sleep disorders (such as obstructive sleep apnea (OSA)). When studies show no disorder, a therapeutic trial with antiepileptic medication may be considered.
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- Information
- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 208 - 216Publisher: Cambridge University PressPrint publication year: 2010