Guilleminault C, Leger D, Philip P, Ohayon M M
Stanford University School of Medicine, Sleep Disorders Center, CA, USA.
J Forensic Sci. 1998 Jan;43(1):158-63.
Sleep consists of two complex states--NREM and REM sleep--and disturbances of the boundaries between the states of sleep and wakefulness may result in violence. We investigated our population for reports of violence associated with sleep. REM behavior disorder is rarely associated with injury to the sufferer or others. NREM sleep related nocturnal wandering associated with self-inflicted injuries has variable etiologies. In the elderly, it is associated with dementia. In young individuals, it may be associated with mesio-temporal or mesio-frontal foci and an indication of a complex partial seizure. It also may be related to abnormal alertness and is associated with excessive daytime sleepiness, micro-sleeps, and hypnagogic hallucinations in sleep disorders such as narcolepsy or sleep disordered breathing.
睡眠由两种复杂状态——非快速眼动（NREM）睡眠和快速眼动（REM）睡眠——组成，睡眠与清醒状态之间边界的紊乱可能导致暴力行为。我们对我们的人群进行了调查，以了解与睡眠相关的暴力报告。快速眼动行为障碍很少与患者自身或他人受伤相关。与自我伤害相关的非快速眼动睡眠相关夜间游荡有多种病因。在老年人中，它与痴呆症有关。在年轻人中，它可能与颞叶内侧或额叶内侧病灶有关，是复杂部分性癫痫发作的一个迹象。它也可能与异常警觉有关，并与发作性睡病或睡眠呼吸障碍等睡眠障碍中的白天过度嗜睡、微睡眠和入睡幻觉有关。
