Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Psychiatry, Mayo Clinic, Rochester, Minnesota.
J Clin Sleep Med. 2019 Mar 15;15(3):505-507. doi: 10.5664/jcsm.7686.
Sexsomnia has been reported and is well described in 115 prior cases in the literature. There have been associations with other sleep disorders serving as triggers for confusional arousals, thereby worsening sexsomnia episodes. We present a case of an adolescent boy with a history of resected and treated pineoblastoma who later developed sexsomnia marked by multiple episodes of masturbatory events per night. He had additional suspicions of obstructive sleep apnea. Polysomnography confirmed severe obstructive sleep apnea and captured multiple episodes of sexsomnia from both REM and NREM sleep. The patient also had daytime symptoms of severe anxiety and hypersomnia that required pharmacological intervention, cognitive behavioral techniques, and hypnosis. The patient showed improvement with hypnosis along with a multimodal approach to the treatment of sexsomnia.
性梦行为在文献中已有 115 例被报道和详细描述。性梦行为与其他睡眠障碍有关，这些睡眠障碍作为意识模糊觉醒的触发因素，从而使性梦行为发作恶化。我们介绍了一例青少年男性的病例，该患者曾患有松果体母细胞瘤，并已接受手术治疗，后来出现了性梦行为，每晚有多次自慰事件。他还有阻塞性睡眠呼吸暂停的嫌疑。多导睡眠图证实了严重的阻塞性睡眠呼吸暂停，并从 REM 和 NREM 睡眠中捕捉到多次性梦行为。该患者还出现了严重焦虑和嗜睡的日间症状，需要药物干预、认知行为技术和催眠治疗。患者在接受催眠治疗以及多模式治疗性梦行为后症状有所改善。
