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 24 - Sexsomnia and obstructive sleep apnea
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 discusses the case of a 32-year-old married man presented with a chief complaint of fondling his wife during sleep. He was an alert, healthy-looking, white male in no distress. The oropharynx was clear, without redundant tissue, and he had a normal neck circumference. A psychiatric interview was unremarkable, apart from some dysphoria over the long-standing, involuntary sleep-sex with his wife. The PSG study documented clinically significant obstructive sleep apnea (OSA), but no other sleep disorder or abnormal polysomnography (PSG) finding. A diagnosis was made of OSA with confusional arousals and sexsomnia, together with sleep-talking. According to the man's history, the sexsomnia began in close association with the onset of snoring, and both progressed in tandem over time. Sexsomnia may be triggered by OSA through confusional arousals with abnormal sexual behaviors during sleep. Nasal continuous positive airway pressure (CPAP) therapy controls both OSA and the associated sexsomnia.
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- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 163 - 168Publisher: Cambridge University PressPrint publication year: 2010