title: Parasomnia Overlap Disorder with Sexual Behaviors during Sleep in a Patient with Obstructive Sleep Apnea.
abstract: Sleep-related abnormal sexual behaviors (sexsomnia) are classified as a subtype of NREM sleep parasomnias. Sexsomnia has been reported as part of parasomnia overlap disorder (POD) in two other patients. We present the case of a 42-year-old male patient with video-polysomnography (vPSG) documented POD. The patient had sleepwalking, sleep-related eating, confusional arousals, sexsomnia, sleeptalking, and REM sleep behavior disorder (RBD). Confusional arousals and RBD were documented during the vPSG. This case had the added complexity of obstructive sleep apnea (OSA) playing a role in sleepwalking and sleep related eating, with good response to nasal continuous positive airway pressure (nCPAP). The sexsomnia did not respond to nCPAP but responded substantially to bedtime clonazepam therapy.
authors.affiliation: Sleep Care Center, HealthEast Care System, St. Paul, MN.
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Soca
authors.affiliation: Pulmonary and Intensive Care Center, HealthEast Care System, St. Paul, MN.
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Keenan
authors.affiliation: Minnesota Regional Sleep Disorders Center, Departments of Psychiatry, Hennepin County Medical Center and University of Minnesota Medical School, Minneapolis, MN.
authors.forename: Carlos H
authors.initials: CH
authors.lastname: Schenck
mesh_terms: D000328:Adult; D002998:Clonazepam / Q000627:therapeutic use*; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D018757:GABA Modulators / Q000627:therapeutic use; D006801:Humans; D008297:Male; D020447:Parasomnias / Q000150:complications* / Q000628:therapy*; D017286:Polysomnography; D012725:Sexual Behavior / Q000187:drug effects*; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000628:therapy*; D020921:Sleep Arousal Disorders / Q000150:complications / Q000628:therapy; D020922:Sleep-Wake Transition Disorders / Q000150:complications / Q000628:therapy; D013009:Somnambulism / Q000150:complications / Q000628:therapy
chemical_list: D018757:GABA Modulators; D002998:Clonazepam
keywords: REM sleep behavior disorder; parasomnia overlap disorder; sexsomnia; sleepwalking