Opinion statement
Non-rapid eye movement parasomnias are unique physical or experiential phenomena that disrupt sleep. Non-rapid eye movement parasomnias are common in children, but they typically outgrow them. Sleep-stage shifts caused by sleep-disordered breathing and associated arousals may be precipitating events for episodes of parasomnia. Seizure disorders should always be considered in the differential diagnosis for the evaluation of parasomnias. Violent or injurious sleepwalking should be rapidly evaluated and treated.
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References and Recommended Reading
Mahowald M: Arousal and sleep-wake transition parasomnias. In Sleep Medicine. Edited by Lee-Chiong T, Sateia M, Carskadon M. Canada: Hanley & Belfus; 2002:207.
The International Classification of Sleep Disorders, Revised. Chicago: American Academy of Sleep Medicine; 2004.
Espa F, Dauvilliers Y, Ondze B, et al.: Arousal reactions in sleepwalking and night terrors in adults: the role of respiratory events. Sleep 2002, 25:871–875.
Ohayon MM, Guilleminault C, Priest RG: Night terrors, sleepwalking, and confusional arousals in the general population: their frequency and relationship to other sleep and mental disorders. J Clin Psychiatry 1999, 60:268–276.
Kales A, Soldatos CR, Bixler EO, et al.: Hereditary factors in sleepwalking and night terrors. Br J Psychiatry 1980, 137:111–118.
Guilleminault C, Palombini L, Pelayo R, Chervin RD: Sleepwalking and sleep terrors in prepubertal children: what triggers them? Pediatrics 2003, 111:17–25. This paper discusses the association between arousal parasomnias and SDB.
Mahowald MW, Bundlie SR, Hurwitz TD, Schenck CH: Sleep violence. Forensic science implications: polygraphic and video documentation. J Forensic Sci 1990, 35:413–432.
Klackenberg G: Somnambulism in childhood: prevalence, course and behavioral correlations. A prospective longitudinal study (6-16 years). Acta Paediatr Scand 1982, 71:495–499.
Arkin AM, Toth MF, Baker J, Hastey JM: The frequency of sleep talking in the laboratory among chronic sleep talkers and good dream recallers. J Nerv Ment Dis 1970, 151:369–374.
Ohayon MM, Li KK, Guilleminault C: Risk factors for sleep bruxism in the general population. Chest 2001, 119:53–61.
Okeson JP, Phillips BA, Berry DT, et al.: Nocturnal bruxing events in subjects with sleep-disordered breathing and control subjects. J Craniomandib Disord 1991, 5:258–264.
Bader GG, Kampe T, Tagdae T, et al.: Descriptive physiological data on a sleep bruxism population. Sleep 1997, 20:982–990.
Oksenberg A, Arons E: Sleep bruxism related to obstructive sleep apnea: the effect of continuous positive airway pressure. Sleep Med 2002, 3:513–515.
Brooks LJ, Topol HI: Enuresis in children with sleep apnea. J Pediatr 2003, 142:515–518.
Umlauf MG, Chasens ER: Sleep disordered breathing and nocturnal polyuria: nocturia and enuresis. Sleep Med Rev 2003, 7:403–411.
Umlauf MG, Chasens ER: Bedwetting-not always what it seems: a sign of sleep-disordered breathing in children. J Spec Pediatr Nurs 2003, 8:22–30.
Weider DJ, Hauri PJ: Nocturnal enuresis in children with upper airway obstruction. Int J Pediatr Otorhinolaryngol 1985, 9:173–182.
Weider DJ, Sateia MJ, West RP: Nocturnal enuresis in children with upper airway obstruction. Otolaryngol Head Neck Surg 1991, 105:427–432.
Baruzzi A, Riva R, Cirignotta F, et al.: Atrial natriuretic peptide and catecholamines in obstructive sleep apnea syndrome. Sleep 1991, 14:83–86.
Young T, Palta M, Dempsey J, et al.: The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993, 328:1230–1235.
Udwadia ZF, Doshi AV, Lonkar SG, Singh CI: Prevalence of sleep-disordered breathing and sleep apnea in middle-aged urban Indian men. Am J Respir Crit Care Med 2004, 169:168–173.
Chung KF: Relationships between insomnia and sleepdisordered breathing. Chest 2003, 123:310–311.
Krakow B, Melendrez D, Ferreira E, et al.: Prevalence of insomnia symptoms in patients with sleep-disordered breathing. Chest 2001, 120:1923–1929.
Shin C, Joo S, Kim J, Kim T: Prevalence and correlates of habitual snoring in high school students. Chest 2003, 124:1709–1715.
Bixler EO, Vgontzas AN, Lin HM, et al.: Association of hypertension and sleep-disordered breathing. Arch Intern Med 2000, 160:2289–2295.
Reid WH: Treatment of somnambulism in military trainees. Am J Psychother 1975, 29:101–106.
Reid WH, Ahmed I, Levie CA: Treatment of sleepwalking: a controlled study. Am J Psychother 1981, 35:27–37.
Gutnik BD, Reid WH: Adult somnambulism: two treatment approaches. Nebr Med J 1982, 67:309–312.
Mahowald MW: Parasomnias. In Principles and Practice of Sleep Medicine, edn 3. Philadelphia: WB Saunders Company; 2000:693. This is a comprehensive review of parasomnias.
Fisher C, Kahn E, Edwards A, Davis DM: A psychophysiological study of nightmares and night terrors: the suppression of stage 4 night terrors with diazepam. Arch Gen Psychiatry 1973, 28:252–259.
Popoviciu L, Corfariu O: Efficacy and safety of midazolam in the treatment of night terrors in children. Br J Clin Pharmacol 1983, 16(suppl):97S-102S.
Cooper AJ: Treatment of coexistent night-terrors and somnambulism in adults with imipramine and diazepam. J Clin Psychiatry 1987, 48:209–210.
Brooks S, Kushida CA: Behavioral parasomnias. Curr Psychiatry Rep 2002, 4:363–368.
Casas JM, Beemsterboer P, Clark GT: A comparison of stress-reduction behavioral counseling and contingent nocturnal EMG feedback for the treatment of bruxism. Behav Res Ther 1982, 20:9–15.
Pierce CJ, Gale EN: A comparison of different treatments for nocturnal bruxism. J Dent Res 1988, 67:597–601.
Moss RA, Hammer D, Adams HE, et al.: A more efficient biofeedback procedure for the treatment of nocturnal bruxism. J Oral Rehabil 1982, 9:125–131.
Gastone L: Indications for the use of hypnosis in the treatment of bruxism in relation to its psychosomatic nature. Minerva Med 1983, 74:2975–2978.
Solberg WK, Clark GT, Rugh JD: Nocturnal electromyographic evaluation of bruxism patients undergoing short term splint therapy. J Oral Rehabil 1975, 2:215–223.
Clark GT, Beemsterboer PL, Solberg WK, Rugh JD: Nocturnal electromyographic evaluation of myofascial pain dysfunction in patients undergoing occlusal splint therapy. J Am Dent Assoc 1979, 99:607–611.
Okeson JP: The effects of hard and soft occlusal splints on nocturnal bruxism. J Am Dent Assoc 1987, 114:788–791.
Raigrodski AJ, Christensen LV, Mohamed SE, Gardiner DM: The effect of four-week administration of amitriptyline on sleep bruxism: a double-blind crossover clinical study. Cranio 2001, 19:21–25.
Mohamed SE, Christensen LV, Penchas J: A randomized double-blind clinical trial of the effect of amitriptyline on nocturnal masseteric motor activity (sleep bruxism). Cranio 1997, 15:326–332.
Lavigne GJ, Soucy JP, Lobbezoo F, et al.: Double-blind, crossover, placebo-controlled trial of bromocriptine in patients with sleep bruxism. Clin Neuropharmacol 2001, 24:145–149.
Lobbezoo F, Lavigne GJ, Tanguay R, Montplaisir JY: The effect of catecholamine precursor L-dopa on sleep bruxism: a controlled clinical trial. Mov Disord 1997, 12:73–78.
Ellison JM, Stanziani P: SSRI-associated nocturnal bruxism in four patients. J Clin Psychiatry 1993, 54:432–434.
Chikhani L, Dichamp J: Bruxism, temporo-mandibular dysfunction and botulinum toxin. Ann Readapt Med Phys 2003, 46:333–337.
Tan EK, Jankovic J: Treating severe bruxism with botulinum toxin. J Am Dent Assoc 2000, 131:211–216.
Wille S: Primary nocturnal enuresis in children: background and treatment. Scand J Urol Nephrol Suppl 1994, 156:1–48.
Wille S: Comparison of desmopressin and enuresis alarm for nocturnal enuresis. Arch Dis Child 1986, 61:30–33.
van Londen A, Londen-Barentsen MW, van Son MJ, Mulder GA: Arousal training for children suffering from nocturnal enuresis: a 2 1/2 year follow-up. Behav Res Ther 1993, 31:613–615.
Edwards SD, van der Spuy HI: Hypnotherapy as a treatment for enuresis. J Child Psychol Psychiatry 1985, 26:161–170.
Kumazawa-Ichikawa MR, Franco-Tostado B, Ruvalcaba-Aceves R: Management of primary nocturnal enuresis in school children with slow learning ability: usefulness of imipramine. Bol Med Hosp Infant Mex 1990, 47:390–394.
Mehta A, Qian J, Petocz P, Darendeliler MA, Cistulli PA: A randomized, controlled study of a mandibular advancement splint for obstructive sleep apnea. Am J Respir Crit Care Med 2001, 163:1457–1461.
Randerath WJ, Heise M, Hinz R, Ruehle KH: An individually adjustable oral appliance vs continuous positive airway pressure in mild-to-moderate obstructive sleep apnea syndrome. Chest 2002, 122:569–575.
Troell RJ: Radiofrequency techniques in the treatment of sleep-disordered breathing. Otolaryngol Clin North Am 2003, 36:473–493.
Attal P, Popot B, Le Pajolec C, et al.: Short term evaluation of a new treatment method for primary snoring: radiofrequency energy. Ann Otolaryngol Chir Cervicofac 2000, 117:259–265.
Rombaux P, Hamoir M, Bertrand B, et al.: Postoperative pain and side effects after uvulopalatopharyngoplasty, laser-assisted uvulopalatoplasty, and radiofrequency tissue volume reduction in primary snoring. Laryngoscope 2003, 113:2169–2173.
Brietzke SE, Mair EA: Injection snoreplasty: how to treat snoring without all the pain and expense. Otolaryngol Head Neck Surg 2001, 124:503–510.
Mahowald MW, Schenck CH: NREM sleep parasomnias. Neurol Clin 1996, 14:675–696. Although from 1996, this is an excellent and comprehensive review of non-REM parasomnias.
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Farid, M., Kushida, C.A. Non-rapid eye movement parasomnias. Curr Treat Options Neurol 6, 331–337 (2004). https://doi.org/10.1007/s11940-004-0032-5
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DOI: https://doi.org/10.1007/s11940-004-0032-5