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.
Department of Psychiatry, Minnesota Regional Sleep Disorders Center, Hennepin County Medical Center, Minneapolis, MN 55415.
C H
CH
Schenck
D M
DM
Milner
T D
TD
Hurwitz
S R
SR
Bundlie
M W
MW
Mahowald
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