快速眼动睡眠行为障碍1例

作者:樊珍;牛艳蕊;张辉 刊名:上海精神医学 上传者:王丽华

【摘要】A 23-year-old female student presented with a five-year history of abnormal sleep in which she would sit up or stand up for brief periods in the early morning,talk loudly for a couple of minutes and then lie back down.When woken by family members she would remember vivid dreams and nightmares.In one episode she had a fall that resulted in a subdural hematoma.On presentation at the psychiatric hospital she had a normal mental status exam except for being mildly depressed and anxious about the chronic fatigue from poor sleep.Overnight polysomnography(PSG) showed multiple waking periods each night,poor sleep efficiency and a lack of normal muscle paralysis during REM sleep.The patient was diagnosed with REM Sleep Behavior Disorder and treated with 1 mg clonazepam nightly.Her sleep improved dramatically and remained better at a six-month follow-up,but repeat PSG exam found that the lack of muscle paralysis during REM sleep remained.

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