Lee Sang Kun
Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
J Epilepsy Res. 2013 Dec 30;3(2):74-5. doi: 10.14581/jer.13014. eCollection 2013 Dec.
We reported a 17-year-ole male presented with repetitive head punching as rhythmic movement during sleep. Rhythmic movement disorder (RMD) during sleep refers to a number of activities characterized by repetitive stereotyped movements such as rhythmic oscillations of the head, limbs, or body. The repetitive movement like punching on the head in our case is a rare form. The patient's symptom was dramatically aggravated by dopamine agonist and responded well to dopamine antagonist. It is the first case report of dopamine-antagonist responsive repetitive head punching as rhythmic movement during sleep.
我们报告了一名17岁男性,他在睡眠期间出现重复性头部击打动作,这是一种节律性运动。睡眠中的节律性运动障碍(RMD)是指一系列以重复性刻板运动为特征的活动,如头部、四肢或身体的节律性摆动。在我们的病例中,像击打头部这样的重复性动作是一种罕见的形式。患者的症状因多巴胺激动剂而显著加重,对多巴胺拮抗剂反应良好。这是首例关于多巴胺拮抗剂反应性重复性头部击打作为睡眠期间节律性运动的病例报告。