title: Trichotillomania and non-epileptic seizures as sleep-related dissociative phenomena.
abstract: The occurrence of non-epileptic seizures (NES) and trichotillomania during sleep is rare. We describe the case of an adult woman with a personal history of childhood maltreatment and psychiatric morbidity (major depression, trichotillomania, and conversion disorder), who was referred to the sleep unit because of nocturnal hair-pulling and psychomotor agitation during sleep. An all-night PSG recording with audiovisual monitoring documented seven episodes of trichotillomania and one NES, all of which arose from unequivocal wakefulness. Improvement of nocturnal behaviors was observed after long-term psychotherapy. This case illustrates that nocturnal trichotillomania and NES may be symptoms of a sleep-related dissociative disorder.
authors.affiliation: Servicios Clínicos, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Tlalpan, México.
authors.forename: Melina
authors.initials: M
authors.lastname: Angulo-Franco
authors.affiliation: Servicios Clínicos, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Tlalpan, México.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Bush-Martínez
authors.affiliation: Servicios Clínicos, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Tlalpan, México.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Nenclares-Portocarrero
authors.affiliation: Servicios Clínicos, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Tlalpan, México.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Jiménez-Genchi
mesh_terms: D000328:Adult; D004213:Dissociative Disorders / Q000150:complications; D005260:Female; D006801:Humans; D020447:Parasomnias / Q000150:complications*; D012640:Seizures / Q000209:etiology*; D014256:Trichotillomania / Q000209:etiology*
keywords: Trichotillomania; convulsion; dissociative disorder; non-epileptic; parasomnia; sleep