Dreamlike Mentations During Sleepwalking and Sleep Terrors in Adults

Oudiette, Delphine; Leu, Smaranda; Pottier, Muriel; Buzare, Marie-Annick; Brion, A.; Arnulf, Isabelle

doi:10.1093/sleep/32.12.1621

Cited by 166 publications

(142 citation statements)

References 26 publications

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“…The fact that family history of presumed RBD was equal in normal controls vs sleep center controls (who may also have an increased awareness of sleep disorders) may suggest that recall bias was not so large, at least not sufficient to negate an OR of 4. It is also possible that some family members had non-REM parasomnia with dream enactment 7 and were incorrectly identified as having RBD. However, only one child per group was reported as affected; given that non-REM parasomnias are more common in childhood, the proportion of misidentified non-REM parasomnia may be relatively low.…”

Section: Statistical Analysis For Each Question Participants Respondedmentioning

confidence: 99%

Family history of idiopathic REM behavior disorder

et al. 2013

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Objective: To compare the frequency of proxy-reported REM sleep behavior disorder (RBD) among relatives of patients with polysomnogram-diagnosed idiopathic RBD (iRBD) in comparison to controls using a large multicenter clinic-based cohort.Methods: A total of 316 patients with polysomnography-confirmed iRBD were recruited from 12 RBD study group centers, along with 316 controls matched on sex and age group. All subjects completed a self-administered questionnaire that collected proxy-reported information on family history of tremor, gait trouble, balance trouble, Parkinson disease, memory loss, and Alzheimer disease. The questionnaire also included a single question that asked about possible symptoms of RBD among first-degree relatives (siblings, parents, and children).Results: A positive family history of dream enactment was reported in 13.8% of iRBD cases compared to 4.8% of controls (odds ratio [OR] 5 3.9, 95% confidence interval [CI] 2.0-7.7). ORs were increased for both siblings (OR 5 6.1, 95% CI 2.1-18.1) and parents (OR 5 3.2, 95% CI 1.4-7.8). We found no significant difference in sex, current age (65.3 6 10.2 vs 66.9 6 10.2 years), or age at self-reported RBD onset (55.2 6 11.7 vs 56.6 6 15.1 years) in possible familial vs sporadic iRBD. No differences were found in family history of tremor, walking and balance troubles, Parkinson disease, memory loss, or Alzheimer disease. Conclusion:We found increased odds of proxy-reported family history of presumed RBD among individuals with confirmed iRBD. This suggests the possibility of a genetic contribution to RBD. Neurology REM sleep behavior disorder (RBD) is characterized by abnormal behaviors associated with dream mentation and loss of REM sleep atonia.1 Most patients with idiopathic RBD (iRBD) eventually develop a neurodegenerative disorder such as Parkinson disease (PD), Lewy body dementia, and multiple system atrophy. 2 Although RBD has been reported in familial neurodegenerative conditions such as parkinsonism related to parkin and DJ-1 mutations, spinocerebellar ataxia type III, and amyotrophic lateral sclerosis due to SOD1 mutations, 3 iRBD is generally considered to be a sporadic condition. One isolated genetic study performed on 25 patients with RBD reported an association with human leukocyte antigen DQw1. 4 However, no studies have systematically assessed possible heritability. Therefore, we compared the frequency of proxy-reported RBD among relatives of patients with iRBD and controls, using a large multicenter clinic-based cohort.

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Section: Statistical Analysis For Each Question Participants Respondedmentioning

confidence: 99%

Family history of idiopathic REM behavior disorder

et al. 2013

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“…ST/sleepwalking may thus represent acting out of the corresponding dreamlike mentation. 5 The usefulness of our report lies in proposing that recall memory events during ST are possible. This asseveration requires further investigation because it challenges our knowledge of memory in SWS.…”

Section: Sleep-terror In a Child Evolving Into Sleepwalking In Adolesmentioning

confidence: 76%

Sleep-terror in a child evolving into sleepwalking in adolescence: case report with the patient's point of view

Poblano

Poblano-Alcalá

Haro

2010

Rev. Bras. Psiquiatr.

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“…1 These episodes are usually followed by amnesia, but a minority of adult patients recall complex mental activity immediately before and during episodes. 2 Thus far, only one case of such an episode associated with pain perception has been described. 3 We report a case of severe NREM parasomnia manifested by the previously unreported feature of lancinating throat pain.…”

Section: A S E R E P O R T Smentioning

confidence: 99%

Adult NREM Parasomnia Associated with Lancinating Throat Pain

Bušková

Šonka

2014

Journal of Clinical Sleep Medicine

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We report the case of a 30-year-old woman presenting with dangerous nocturnal NREM episodes with the clinical feature of lancinating throat pain. We hypothesize that the pain may have represented sensory hallucination analogous to commonly recognized visual images associated with NREM parasomnias. This case is also unusual for probable psychological triggers that could play a role in the pathogenesis of the disease, as evidenced by successful psychotherapy. Keywords: NREM parasomnia, pain, psychotherapy Citation: Bušková J, Šonka K. Adult NREM parasomnia associated with lancinating throat pain. J Clin Sleep Med 2014;10(8):925-926. http://dx.doi.org/10.5664/jcsm.3974 C A S E R E P O R T SN REM parasomnias are arousal disorders emerging during slow wave sleep characterized by greatly variable behavioral and emotional expression.1 These episodes are usually followed by amnesia, but a minority of adult patients recall complex mental activity immediately before and during episodes.2 Thus far, only one case of such an episode associated with pain perception has been described. 3 We report a case of severe NREM parasomnia manifested by the previously unreported feature of lancinating throat pain. REPORT OF CASEThe patient is a 30-year-old, healthy young woman with a high school education, now on maternity leave with her fi rst child. She has suffered from "calm somnambulism" since childhood with no other medical history.Her husband arranged a consultation in our sleep clinic with regard to dangerous behavior exhibited by his wife while asleep. The episodes typically occurred within the fi rst two hours of sleep, and presented with sudden sat up straight in bed and somniloquy that suggestively corresponded to dreamlike visual images. At the beginning of the episode that prompted consultation, the subject began to dream that she was swallowing various indigestible objects (such as scissors, socks, dogs, needles, worms, pet hair), accompanied by terribly unpleasant subjective feelings and lancinating throat pain. She experienced this sensation so dramatically that she spent some time sitting up in bed vigorously trying to remove the object from her throat with her hands until she choked and gagged, injuring her throat, with pain persisting for a week. She was confused for several minutes after the episode and repeatedly asked her husband to remove the object from her throat. There was no identifi ed biopsychosocial trigger for these episodes from the preceding day.The last of these sporadic episodes involved a potential threat to their daughter. Their two-year-old daughter was sleeping with her parents as she had infl uenza. The episode started around midnight. The subject suddenly sat upright in bed, grabbed her daughter and forcibly opened her mouth, trying to insert her fi ngers into her mouth. Her husband acted quickly to protect their daughter. When he succeeded in waking his wife, she said that she had dreamt that her daughter swallowed a coin. She was not sure whether or not it was a dream for an entire day fol...

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Dreamlike Mentations During Sleepwalking and Sleep Terrors in Adults

Abstract: Short, unpleasant dreamlike mentations may occur during sleepwalking/sleep terrors episodes, suggesting that a complex mental activity takes place during slow wave sleep. Sleepwalking may thus represent acting out of the corresponding dreamlike mentation.

Cited by 166 publications

References 26 publications

Family history of idiopathic REM behavior disorder

Family history of idiopathic REM behavior disorder

Sleep-terror in a child evolving into sleepwalking in adolescence: case report with the patient's point of view

Adult NREM Parasomnia Associated with Lancinating Throat Pain

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