Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Cœur de Montréal, Montreal, QC, Canada; Department of Psychology, Université de Montréal, Montreal, QC, Canada.
Lancet Neurol. 2013 Mar;12(3):285-94. doi: 10.1016/S1474-4422(12)70322-8.
Somnambulism, or sleepwalking, can give rise to a wide range of adverse consequences and is one of the leading causes of sleep-related injury. Accurate diagnosis is crucial for proper management and imperative in an ever-increasing number of medicolegal cases implicating sleep-related violence. Unfortunately, several widely held views of sleepwalking are characterised by key misconceptions, and some established diagnostic criteria are inconsistent with research findings. The traditional idea of somnambulism as a disorder of arousal might be too restrictive and a comprehensive view should include the idea of simultaneous interplay between states of sleep and wakefulness. Abnormal sleep physiology, state dissociation, and genetic factors might explain the pathophysiology of the disorder.
梦游症，又称睡行症，可能导致多种不良后果，是与睡眠相关损伤的主要原因之一。准确的诊断对于适当的管理至关重要，而且在越来越多的涉及与睡眠相关暴力的法医案例中也是必要的。不幸的是，梦游症的几种常见观点存在关键误解，一些既定的诊断标准与研究结果不一致。将梦游症视为觉醒障碍的传统观点可能过于局限，全面的观点应该包括睡眠和觉醒状态同时相互作用的概念。异常的睡眠生理、状态分离和遗传因素可能解释了这种疾病的病理生理学。
