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
- Case 9 Extreme dreams
- Case 10 Odd sleep-related behaviors
- Case 11 Paralyzed and unable to breathe
- Case 12 Nightmares and numbness in the right arm
- Case 13 Screaming at night
- Case 14 Violent sleep behavior resulting in subdural hemorrhage
- Case 15 Amnestic nocturnal behavior
- Case 16 A terrified and terrifying scream
- Case 17 Frequent night-time wanderings
- Case 18 An adult sleepwalker who was sleep deprived
- Case 19 Seeking food in the night
- Case 20 The case of the missing loaf of bread
- Case 21 Gaining weight while asleep
- Case 22 Vivid images in the bedroom
- Case 23 Noisy breathing during sleep
- Case 24 Sexsomnia and obstructive sleep apnea
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Case 19 - Seeking food in the night
from Part IV - Parasomnias
Published online by Cambridge University Press: 10 November 2010
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
- Case 9 Extreme dreams
- Case 10 Odd sleep-related behaviors
- Case 11 Paralyzed and unable to breathe
- Case 12 Nightmares and numbness in the right arm
- Case 13 Screaming at night
- Case 14 Violent sleep behavior resulting in subdural hemorrhage
- Case 15 Amnestic nocturnal behavior
- Case 16 A terrified and terrifying scream
- Case 17 Frequent night-time wanderings
- Case 18 An adult sleepwalker who was sleep deprived
- Case 19 Seeking food in the night
- Case 20 The case of the missing loaf of bread
- Case 21 Gaining weight while asleep
- Case 22 Vivid images in the bedroom
- Case 23 Noisy breathing during sleep
- Case 24 Sexsomnia and obstructive sleep apnea
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Summary
This chapter discusses the case of a 43-year-old male having problems with his nocturnal sleep at the age of 23 when he started to present recurrent nocturnal awakenings from sleep associated with involuntary eating. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. Actigraphic recordings for 2 weeks disclosed persistent muscular activity during the nocturnal period and two to five episodes per night of further enhanced muscular activity that corresponded to the eating episodes noted by the patient in his diary. The sleep medicine specialist established a diagnosis of sleep-related eating disorder (SRED) based on the clinical history and on the results of the video-polysomnography (PSG) recording. Low-dosage dopaminergic agents such as levodopa/carbidopa at bedtime, sometimes combined with codeine and/or clonazepam, bromocriptine and pramipexole, have been shown to reduce the eating episodes.
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- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 131 - 138Publisher: Cambridge University PressPrint publication year: 2010