A case of parasomnia at REM sleep onset.
A case is reported of dyssomnia at the onset of REM sleep with thrashing, shouting, and urinary incontinence throughout the night. The attacks did not respond to, and may have been worsened by, antiepileptic drugs and diazepam, and the patient had microsleeps and brief apneas during a night of severely fragmented sleep. The case underscores the value of differentiating REM and NREM disorders in patients with atypical nocturnal attacks.
Drake
M E
ME
Department of Neurology, Ohio State University Hospitals, Columbus.
D000328:Adult; D000927:Anticonvulsants / Q000009:adverse effects / Q000627:therapeutic use; D003937:Diagnosis, Differential; D003975:Diazepam / Q000009:adverse effects / Q000627:therapeutic use; D004325:Dreams; D004827:Epilepsy / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D012894:Sleep Stages / Q000502:physiology; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D012895:Sleep, REM / Q000502:physiology*
D000927:Anticonvulsants; D003975:Diazepam