Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-28T15:32:28.724Z Has data issue: false hasContentIssue false

Case 36 - Restlessness and jerking upon recumbency when trying to fall asleep

from Part VII - Sleep-related movement disorders

Published online by Cambridge University Press:  10 November 2010

By
Roberto Vetrugno  and
Pasquale Montagna
Edited by
Antonio Culebras
Antonio Culebras
Affiliation:
Upstate Medical University, New York
Get access

Summary

This chapter discusses the case of a 56-year-old woman who was admitted to the hospital with a 2-year history of uncomfortable sensations with pain and paresthesia accompanied by an urge to move the legs at rest upon recumbency. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. Neurophysiology confirmed that these axial jerks occurred solely at the transition from wakefulness to sleep, during intrasleep arousal and upon awakening, that is, when the patient was relaxed but awake. Remarkably, propriospinal myoclonus (PSM) in the patient was observed to flare up at the transition from wakefulness to sleep and did not seem to relate only to the recumbency posture, but rather to vigilance level. The jerks could be promptly abolished by mental activation, even with the patient lying down, and immediately restarted when the patient was left alone undisturbed.

Keywords

abnormal breathing soundsBMIcatathreniaNREM sleepEpworth Sleepiness Scale scoregroaning sounds
Type
Chapter
Information
Case Studies in Sleep Neurology
Common and Uncommon Presentations
 , pp. 255 - 261
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×