Frequent night-time wanderings

Hrayr P. Attarian*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter discusses the case of a 38-year-oldwoman who had presented to the sleep center's outpatient clinic for evaluation of frequent sleepwalking episodes. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. A comprehensive evaluation including polysomnography (PSG), video-electroencephalography (EEG), psychological testing and necessary medical testing is important as it can have a major impact on the question of the patient's criminal responsibility. The EEG showed no epileptiform abnormalities interictally or during the events. The patient was referred for hypnotherapy and cognitive behavioral therapy (CBT) for her insomnia. Given these results, a diagnosis of sleepwalking, arousal disorder, was made. The daytime sleepiness was thought to be due to the intake of excess clonazepam. Medications (lithium, zolpidem, high doses of neuroleptic drugs and benzodiazepines) and recreational drugs may also induce sleepwalking.

Original languageEnglish (US)
Title of host publicationCase Studies in Sleep Neurology
Subtitle of host publicationCommon and Uncommon Presentations
PublisherCambridge University Press
Pages117-122
Number of pages6
ISBN (Electronic)9780511902505
ISBN (Print)9780521146487
DOIs
StatePublished - Jan 1 2010

ASJC Scopus subject areas

  • Medicine(all)

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    Attarian, H. P. (2010). Frequent night-time wanderings. In Case Studies in Sleep Neurology: Common and Uncommon Presentations (pp. 117-122). Cambridge University Press. https://doi.org/10.1017/CBO9780511902505.019