Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Case 32 Violent tongue biting recurring during sleep
- Case 33 A child with behavioral problems and violent sleep behavior leading to trauma
- Case 34 Clicking all night
- Case 35 Repetitive arm movements
- Case 36 Restlessness and jerking upon recumbency when trying to fall asleep
- Case 37 Jumping and yelling while asleep
- Case 38 A case of attention deficit
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
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
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Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Case 32 Violent tongue biting recurring during sleep
- Case 33 A child with behavioral problems and violent sleep behavior leading to trauma
- Case 34 Clicking all night
- Case 35 Repetitive arm movements
- Case 36 Restlessness and jerking upon recumbency when trying to fall asleep
- Case 37 Jumping and yelling while asleep
- Case 38 A case of attention deficit
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
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.
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- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 255 - 261Publisher: Cambridge University PressPrint publication year: 2010