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3 - Parasomnias

from SECTION 2 - SLEEP DISORDERS

Published online by Cambridge University Press:  08 August 2009

Rosalia Silvestri
Affiliation:
University of Messina, Italy
Irene Aricò
Affiliation:
University of Messina, Italy
Harold R. Smith
Affiliation:
University of California, Irvine
Cynthia L. Comella
Affiliation:
Rush University Medical Center, Chicago
Birgit Högl
Affiliation:
Inssbruck Medical University
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Summary

Introduction

Parasomnias, as described in the recent second edition of the International Classification of Sleep Disorders, are “undesirable physical events or experiences” occurring during sleep transition, during arousal from sleep, or within the sleep period. They correspond to CNS patterns of activation expressed through either muscle/motoric or autonomic functions. Therefore they may range from abnormal sleep-related movements to emotions, perceptions, dreaming, or behaviors. In the most complex forms even “basic drive state” may emerge, resulting in complex abnormal behaviors such as sleep-related eating disorder (SRED) or abnormal sexual behaviors.

The pathophysiology of the parasomnias does not rely on an altered sleep structure, and physiological sleep processes are not involved. Rather the concept that sleep and wakefulness are not invariably mutually exclusive states is the main pathophysiology underlying parasomnias. Yet they are included among clinical disorders due to the resulting injuries, and adverse health and psychosocial effects, which may affect the bed partner as well as the patient. The word parasomnia derives from the Greek para combined with the Latin somnus: events accompanying sleep. Parasomnias often involve automatic behavior, i.e., seemingly goal-directed, complex purposeful behaviors enacted without the conscious awareness and volition of the individual, who cannot exercise conscious deliberate control over his or her behaviors and sleep-related experiences.

Type
Chapter
Information
Sleep Medicine , pp. 47 - 55
Publisher: Cambridge University Press
Print publication year: 2008

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References

American Academy of Sleep Medicine. The International Classification of Sleep Disorders: Diagnostic and Coding Manual, 2nd edn (ICSD-2). Westchester, IL: American Academy of Sleep Medicine, 2005.
Arnulf, I, Merino-Andreu, M, Bloch, F, et al. REM sleep behavior disorder and REM sleep without atonia in patients with progressive supranuclear palsy. Sleep 2005; 28: 349–54.Google ScholarPubMed
Boeve, BF, Silber, MH, Parisi, JE, et al. Synucleinopathy pathology and REM sleep behavior disorder plus dementia or Parkinsonism. Neurology 2003; 61: 40–5.CrossRefGoogle ScholarPubMed
Broughton, RJ. Sleep disorders: disorders of arousal?Science 1968; 159: 1070–8.CrossRefGoogle ScholarPubMed
Gagnon, JF, Bedard, MA, Fantini, ML, et al. REM sleep behavior disorder and REM sleep without atonia in Parkinson's disease. Neurology 2002; 59: 585–9.CrossRefGoogle Scholar
Hobson JA. A new model of brain mind state: activation level, input source, and mode of processing (AIM). In: Antrobus, J, Bertini, M, eds. The Neuropsychology of Sleep and Dreaming. Rahway, NJ: Lawrence Erlbaum, 1992.Google Scholar
Iranzo, A, Munoz, E, Santamaria, J, et al. REM sleep behavior disorder and vocal cord paralysis in Machado–Joseph disease. Mov Disord 2003; 18: 1179–83.CrossRefGoogle ScholarPubMed
Iranzo, A, Santamaria, J, Rye, DB, et al. Characteristics of idiopathic REM sleep behavior disorder and that associated with MSA and PD. Neurology 2005; 65: 247–52.CrossRefGoogle ScholarPubMed
Mahowald, MW, Schenck, CH. Evolving concepts of human state dissociation. Arch Ital Biol 2001; 139: 269–300.Google ScholarPubMed
Mazza, M, Faia, V, Paciello, N, Marca, Della G, Mazza, S. Sleep disorders in childhood: a review. Clin Ter 2002; 153: 189–93.Google ScholarPubMed
Nielsen T, Zadra A. Dreaming disorders. In: Kryger, MH, Roth, T, Dement, WC, eds. Principles and Practice of Sleep Medicine, 3rd edn. Philadelphia: Saunders, 2000: 753–72.Google Scholar
Ohayon, M, Zulley, J, Guilleminault, C, Smirne, S. Prevalence and pathologic associations of sleep paralysis in the general population. Neurology 1999; 52: 194–200.CrossRefGoogle ScholarPubMed
Plazzi, G, Corsini, R, Provini, F, et al. REM sleep behavior disorders in multiple system atrophy. Neurology 1997; 48: 1094–7.CrossRefGoogle ScholarPubMed
Vetrugno, R, Provini, F, Plazzi, G, et al. , Catathrenia (nocturnal groaning): a new type of parasomnia. Neurology 2001; 56: 681–3.CrossRefGoogle ScholarPubMed
Wetter, TC, Trenkwalder, C, Gershanik, O, Högl, B. Polysomnographic measures in Parkinson's disease: a comparison between patients with and without REM sleep disturbances. Wien Klin Wochenschr 2001; 113: 249–53.Google ScholarPubMed

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