Drake M E
Department of Neurology, Ohio State University Hospitals, Columbus.
J Clin Psychiatry. 1987 Oct;48(10):414-5.
A case is reported of dyssomnia at the onset of REM sleep with thrashing, shouting, and urinary incontinence throughout the night. The attacks did not respond to, and may have been worsened by, antiepileptic drugs and diazepam, and the patient had microsleeps and brief apneas during a night of severely fragmented sleep. The case underscores the value of differentiating REM and NREM disorders in patients with atypical nocturnal attacks.
报告了一例快速眼动睡眠期开始出现的睡眠障碍病例，整夜伴有剧烈扭动、呼喊和尿失禁。抗癫痫药物和地西泮对此发作无效，甚至可能使其加重，患者在严重碎片化睡眠的一夜中出现微睡眠和短暂呼吸暂停。该病例强调了在非典型夜间发作患者中区分快速眼动和非快速眼动睡眠障碍的重要性。
