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Parasomnias and Panic attacks: a Case Report

Published online by Cambridge University Press:  23 March 2020

S. Benavente López
Affiliation:
Hospital Universitario 12 de Octubre, Psychiatry, Madrid, Spain
N. Salgado Borrego
Affiliation:
Hospital Dr. Rodríguez Lafora, Psychiatry, Madrid, Spain
C. Hernández Durán
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
E. Muro Fernández de Pinedo
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
a.P. García Marín
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
L. Pérez Ordoño
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
a. Sainz Herrero
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
a.M. Sanz Paloma
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
R. Barbosa Requena
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
L.T. Vázquez Rodríguez
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
G. Rodrigo Borja
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
J. Vila Santos
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
F. Jiménez Morillas
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
S. Bermejo Lorero
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
M.L. Castro arias
Affiliation:
Hospital Universitario 12 de Octubre, Emergency department, Madrid, Spain
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Abstract

Introduction

Parasomnias are a category of sleep disorders in which abnormal events occur during sleep, due to inappropriately timed activation of physiological systems.

Case report

we report the case of a 41-year-old female who has no psychiatric history. The patient went to emergency department because when she was starting to sleep, in the first state of sleep, she felts a sensation of paralysis in all her body, with incapacity for breathing, chest oppression and tactile hallucinations like something or someone was touching her entire body. Due to that, the patient awoke frightened, with high levels of anxiety, with heart palpitations, shortness of breath, trembling, choking feeling, sweating, nausea and fear of dying. When the patient arrived to the emergency department, she was suffering a panic attack, thinking that she could have some kind of neurological disease or she was suffering a heart attack. after treating the panic attack with 1 mg of lorazepam, all the symptoms subsided gradually.

Discussion

in this case report, we present a patient with a new-onset parasomnia, with hypnagogic hallucinations and a panic attack at the awakening. It is known that stress factors are closely associated with parasomnias, as we can see in this case because the patient was moving and she was sleeping in a new place.

Conclusions

Parasomnias are very frequently present in general population and they can trigger intense anxiety status that can lead to panic attacks.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV615
Copyright
Copyright © European Psychiatric Association 2016

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