title: [Complex injuries associated with somnambulism].
abstract: Up to 3% of adults walk in their sleep and some perform complex behaviours. Treatment recommendations for sleepwalking are inconsistent. This case report describes a 64-year-old man who climbed out of a 2nd floor toilet window during somnambulism. He fell 6-8 meters and fractured the tibia, fibula, cervical columna, lumbal columna, calcaneus, costae and suffered a pneumothorax. Evidence to support sleepwalking treatment is lacking and besides benzodiazepines, prevention is the preferred treatment choice according to the literature.
authors.affiliation: Plastikkirurgisk Afdeling, Rigshospitalet, Denmark. hylleholt@gmail.com
authors.forename: Nanna Hylleholt
authors.initials: NH
authors.lastname: Sillesen
authors.forename: Lisa Toft
authors.initials: LT
authors.lastname: Nielsen
authors.forename: Christian
authors.initials: C
authors.lastname: Bonde
mesh_terms: D000058:Accidental Falls; D002111:Calcaneus / Q000293:injuries; D004827:Epilepsy / Q000150:complications; D005360:Fibula / Q000293:injuries; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000209:etiology; D013009:Somnambulism / Q000150:complications*; D016103:Spinal Fractures / Q000209:etiology; D013978:Tibial Fractures / Q000209:etiology