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区分激惹性失眠中的梦呓性昏迷与梦障碍。

Differentiating Oneiric Stupor in Agrypnia Excitata From Dreaming Disorders.

作者信息

Baldelli Luca, Provini Federica

机构信息

Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.

Istituto di Ricovero e Cura a Carattere Scientifico Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.

出版信息

Front Neurol. 2020 Nov 12;11:565694. doi: 10.3389/fneur.2020.565694. eCollection 2020.

Abstract

Oneiric Stupor (OS) in Agrypnia Excitata represents a peculiar condition characterized by the recurrence of stereotyped gestures such as mimicking daily-life activities associated with the reporting of a dream mentation consisting in a single oneiric scene. It arises in the context of a completely disorganized sleep structure lacking any physiological cyclic organization, thus, going beyond the concept of abnormal dream. However, a proper differential diagnosis of OS, in the complex world of the "disorders of dreaming" can become quite challenging. The aim of this review is to provide useful clinical and videopolygraphic data on OS to differentiate it from other dreaming disorders. Each entity will be clinically evaluated among the areas of dream mentation and abnormal sleep behaviors and its polygraphic features will be analyzed and distinguished from OS.

摘要

激越性失眠中的梦样木僵(OS)代表一种特殊情况,其特征为刻板动作反复出现,如模仿与梦境叙述相关的日常生活活动,梦境叙述由单一梦境场景组成。它出现在完全紊乱的睡眠结构背景下,缺乏任何生理周期性组织,因此,超出了异常梦境的概念。然而,在“梦障碍”这个复杂的领域中,对OS进行恰当的鉴别诊断可能颇具挑战性。本综述的目的是提供有关OS的有用临床和视频多导睡眠图数据,以将其与其他梦障碍区分开来。每个实体将在梦境叙述和异常睡眠行为领域进行临床评估,并分析其多导睡眠图特征并与OS进行区分。

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