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  Vol. 52 No. 3, March 1995 TABLE OF CONTENTS
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Violent Sleep-Related Behavior Leading to Subdural Hemorrhage

Mark E. Dyken, MD; Deborah C. Lin-Dyken, MD; Peter Seaba, MSEE; Thoru Yamada, MD

Arch Neurol. 1995;52(3):318-321.


Abstract

Objective
To polysomnographically determine, using split-screen electroencephalographic-video analysis, the cause of violent sleep-related activity in a patient whose differential diagnosis includes sleep walking (somnambulism), pavor incubus (adult night terrors), nocturnal seizures, psychogenic wandering, and rapid eye movement sleep behavior disorder.

Setting
The patient was referred to the University of Iowa, Department of Neurology Sleep Disorders Center, Iowa City, from the local community to evaluate a history of violent dreams associated with injury. The subject presented with a subdural hemorrhage that was discovered with magnetic resonance imaging.

Outcome
The diagnosis of rapid eye movement sleep behavior disorder was confirmed after a characteristic spell of violent behavior, with an associated dream, was captured polysomnographically.



Author Affiliations

From the Departments of Neurology Sleep Disorders Center (Drs Dyken and Yamada and Mr Seaba) and the Department of Pediatrics, Division of Developmental Disabilities (Dr Lin-Dyken), University of Iowa College of Medicine, Iowa City.



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Rapid eye movement sleep behaviour disorder: demographic, clinical and laboratory findings in 93 cases
Olson et al.
Brain 2000;123:331-339.
ABSTRACT | FULL TEXT  





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