阻塞性睡眠呼吸暂停患者的睡眠行为相关异态睡眠重叠障碍
Parasomnia Overlap Disorder with Sexual Behaviors during Sleep in a Patient with Obstructive Sleep Apnea.
作者信息
Soca Rodolfo, Keenan Joseph C, Schenck Carlos H
机构信息
Sleep Care Center, HealthEast Care System, St. Paul, MN.
Pulmonary and Intensive Care Center, HealthEast Care System, St. Paul, MN.
出版信息
J Clin Sleep Med. 2016 Aug 15;12(8):1189-91. doi: 10.5664/jcsm.6066.
Sleep-related abnormal sexual behaviors (sexsomnia) are classified as a subtype of NREM sleep parasomnias. Sexsomnia has been reported as part of parasomnia overlap disorder (POD) in two other patients. We present the case of a 42-year-old male patient with video-polysomnography (vPSG) documented POD. The patient had sleepwalking, sleep-related eating, confusional arousals, sexsomnia, sleeptalking, and REM sleep behavior disorder (RBD). Confusional arousals and RBD were documented during the vPSG. This case had the added complexity of obstructive sleep apnea (OSA) playing a role in sleepwalking and sleep related eating, with good response to nasal continuous positive airway pressure (nCPAP). The sexsomnia did not respond to nCPAP but responded substantially to bedtime clonazepam therapy.
与睡眠相关的异常性行为（睡眠相关性行为障碍）被归类为非快速眼动（NREM）睡眠异态睡眠的一种亚型。另外两名患者报告睡眠相关性行为障碍为异态睡眠重叠障碍（POD）的一部分。我们报告一例42岁男性患者，其视频多导睡眠图（vPSG）记录为POD。该患者有梦游、睡眠相关进食、混乱觉醒、睡眠相关性行为障碍、说梦话和快速眼动（REM）睡眠行为障碍（RBD）。vPSG期间记录到混乱觉醒和RBD。该病例的复杂性还在于阻塞性睡眠呼吸暂停（OSA）在梦游和睡眠相关进食中起作用，对鼻持续气道正压通气（nCPAP）反应良好。睡眠相关性行为障碍对nCPAP无反应，但对睡前使用氯硝西泮治疗有显著反应。
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