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Am J Psychiatry 1989; 146:1166-1173
Copyright © 1989 by American Psychiatric Association
A polysomnographic and clinical report on sleep-related injury in 100 adult patients
CH Schenck, DM Milner, TD Hurwitz, SR Bundlie and MW Mahowald
Department of Psychiatry, Minnesota Regional Sleep Disorders Center, Hennepin County Medical Center, Minneapolis, MN 55415.
In 100 consecutive adults who came to a sleep disorders center complaining
of repeated nocturnal injury, polysomnographic study identified five
disorders: night terrors/sleepwalking (N = 54), REM sleep behavior disorder
(N = 36), dissociative disorders (N = 7), nocturnal seizures (N = 2), and
sleep apnea (N = 1). Ninety-five patients sustained ecchymoses, 30 had
lacerations, and nine had fractures. DSM-III axis I disorders (past or
current) were found in 48.1% of the group with night terrors/sleepwalking
and in 30.6% of the group with REM sleep behavior disorder; these were
mainly affective disorders. In these two groups, clonazepam controlled the
symptoms of 51 of the 61 patients to whom it was given.
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CHARACTERISTICS OF PATIENTS WITH SLEEP-RELATED INJURY
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September 15, 1989;
1989(915):
7 - 7.
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