Parasomnias and other sleep-related movement disorders.
Parasomnias are common clinical complaints. Formal sleep evaluation including PSG is indicated for parasomnias that are violent and potentially injurious; disruptive to the bed partner or other household members; accompanied by excessive daytime sleepiness; or associated with medical,psychiatric, or neurologic symptoms or findings [2]. Multiple sleep latency testing should be considered for patients who have complaints of excessive daytime sleepiness. An extensive history, including medical, neurologic,psychiatric, and sleep disorder, and a review of medication, alcohol, illicit drug use, and family history of parasomnias, may provide useful clues. Distinguishing between a parasomnia and a seizure may be difficult as both can present as recurrent, stereotypical behaviors. Evaluation may be aided by an expanded EEG montage during overnight PSG studies.
Lee-Chiong
Teofilo L
TL
Department of Medicine, National Jewish Medical and Research Center, 1400 Jackson Street, Denver, CO 80206, USA. Lee-chiongt@njc.org
D006801:Humans; D020447:Parasomnias / Q000175:diagnosis* / Q000503:physiopathology; D011320:Primary Health Care; D020186:Sleep Bruxism / Q000175:diagnosis / Q000503:physiopathology; D020922:Sleep-Wake Transition Disorders / Q000175:diagnosis / Q000503:physiopathology; D013009:Somnambulism / Q000175:diagnosis / Q000503:physiopathology