A polysomnographic and clinical report on sleep-related injury in 100 adult patients.
In 100 consecutive adults who came to a sleep disorders center complaining of repeated nocturnal injury, polysomnographic study identified five disorders: night terrors/sleepwalking (N = 54), REM sleep behavior disorder (N = 36), dissociative disorders (N = 7), nocturnal seizures (N = 2), and sleep apnea (N = 1). Ninety-five patients sustained ecchymoses, 30 had lacerations, and nine had fractures. DSM-III axis I disorders (past or current) were found in 48.1% of the group with night terrors/sleepwalking and in 30.6% of the group with REM sleep behavior disorder; these were mainly affective disorders. In these two groups, clonazepam controlled the symptoms of 51 of the 61 patients to whom it was given.
Schenck
C H
CH
Department of Psychiatry, Minnesota Regional Sleep Disorders Center, Hennepin County Medical Center, Minneapolis, MN 55415.
Milner
D M
DM
Hurwitz
T D
TD
Bundlie
S R
SR
Mahowald
M W
MW
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002998:Clonazepam / Q000627:therapeutic use; D004213:Dissociative Disorders / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D008950:MMPI; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D008875:Middle Aged; D012890:Sleep / Q000502:physiology*; D012891:Sleep Apnea Syndromes / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D012893:Sleep Wake Disorders / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D012895:Sleep, REM / Q000502:physiology; D013009:Somnambulism / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D014947:Wounds and Injuries / Q000209:etiology*
D002998:Clonazepam