Bassetti C, Hess C W
Neurologische Universitätsklinik, Inselspital, Bern.
Ther Umsch. 1993 Oct;50(10):692-7.
Parasomnias are frequent. They usually represent either the exaggeration of a physiological phenomenon (e.g. sleep starts) or a non-disturbing, idiopathic and usually benign sleep disorder (e.g. sleep talking and bruxism), which need only counseling and improvement of sleep hygiene. However, occasionally parasomnias are of clinical relevance. They can cause insomnia or hypersomnia (e.g. 'myoclonus nocturnus'), psychosocial stress (e.g. sleep-related enuresis and sleep walking) and injuries to oneself and others (e.g. REM-parasomnia). Finally, they can be symptomatic of neurological and medical disorders (e.g. sleep paralysis and 'myoclonus nocturnus'). In these cases special investigations including video-polysomnography can establish a correct diagnosis and allow a specific treatment.
睡眠障碍很常见。它们通常表现为生理现象的夸大(如入睡抽动)或一种无干扰、特发性且通常为良性的睡眠障碍(如梦呓和磨牙症),这类情况仅需咨询并改善睡眠卫生即可。然而,睡眠障碍偶尔也具有临床相关性。它们可能导致失眠或嗜睡(如“夜间肌阵挛”)、心理社会压力(如与睡眠相关的遗尿症和梦游)以及对自身和他人的伤害(如快速眼动睡眠行为障碍)。最后,它们可能是神经和医学疾病的症状(如睡眠瘫痪和“夜间肌阵挛”)。在这些情况下,包括视频多导睡眠图在内的特殊检查可做出正确诊断并进行针对性治疗。