Calvet U
Sleep Laboratory, Clinique Saint-Jean Languedoc, 20, route de Revel, 31077 Toulouse Cedex, France.
Sleep Med Rev. 1999 Mar;3(1):47-57. doi: 10.1016/s1087-0792(99)90013-8.
Sleep related painful erection is a parasomnia occurring during rapid eye movement (REM) sleep. It is rarely dealt with in the literature, and is very often poorly understood. Because of repeated awakenings, it is interpreted as insomnia, and is attributed to anxiety. EEG recordings associated with nocturnal penile tumescence monitoring indicate the existence of disturbed sleep organization, with awakenings during REM sleep and frequent nocturnal erections, often unrelated to REM sleep. Though the pathophysiological mechanisms involved are not yet understood, an interpretation of sleep-related painful erections is proposed, based on the current understanding and physiology of diurnal and nocturnal erections.
睡眠相关性疼痛性阴茎勃起是一种发生在快速眼动(REM)睡眠期的异态睡眠。文献中对其论述甚少,且常常未被充分理解。由于反复觉醒,它被误诊为失眠,并被归因于焦虑。与夜间阴茎勃起监测相关的脑电图记录表明存在睡眠结构紊乱,在REM睡眠期觉醒且夜间频繁勃起,这些勃起常与REM睡眠无关。尽管其中涉及的病理生理机制尚不清楚,但基于目前对昼夜勃起的认识和生理状况,本文对睡眠相关性疼痛性阴茎勃起提出一种解释。