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Night terrors

Published online by Cambridge University Press:  18 September 2015

B. Van Sweden ,
J. Bollen ,
B. Leroy  and
F. Mesotten
B. Van Sweden
Affiliation:
Medisch Centrum St.-Jozef, Bilzen
J. Bollen
Affiliation:
Psychiatrisch Ziekenhuis Sancta Maria, Melveren
B. Leroy
Affiliation:
Universitair Centrum St.-Jozef, Kortenberg, K.U. Leuven
F. Mesotten
Affiliation:
Medisch Centrum St.-Jozef, Bilzen
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Summary

The parasomnias are important yet badly recognised dysfunctions in clinical psychiatry. The clinical presentation and consequences in adults differ considerably from the often benign dysfunction in childhood. We present a case of incubus in a patient suffering from recurrent unipolar affective psychosis (type mania). The polysomnographic features are discussed and the differentiation from other paroxysmal amnestic conditions is emphasized. Pathophysiology encompasses a Slow Wave Sleep (SWS) arousal disorder probably related to a serotoninergic dysfunction. The relationship withpsychopa-thology is discussed.

Keywords

N-REM parasomniapavor nocturnuspolysomnographyaffective disorderadultsNREM parasomniaPavor nocturnuspolysomnografieaffectieve stoornisvolwassenen
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 5 , Issue 4 , December 1993 , pp. 88 - 91
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1993

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References

Literatuur

1Parkes, JD. The parasomnias. Lancet 1986;2:1021-5.CrossRefGoogle ScholarPubMed
2Kales, JD, Kales, A, Soldatos, CR, Caldwell, AB, Charney, DS, Martin, ED. Night terrors. Arch gen Psychiat 1980;37:1413-7CrossRefGoogle ScholarPubMed
3Thorpy, MJ. Rhythmic movement disorder. In Handbook of Sleep Disorders. Thorpy, MJ, ed. New York: Marcel Dekker, 1990:609-29.Google Scholar
4Broughton, RJ. Sleep disorders: disorders of arousal? Science 1968;159:1070-8.CrossRefGoogle ScholarPubMed
5Kales, A, Soldatos, CR, Bixler, ED, Ladda, R, Charney, D, Weber, G, Swetzer, P. Hereditary factors in sleepwalking and night terrors. Br J Psychiat 1980;137:111-8.CrossRefGoogle ScholarPubMed
6Pedley, TA, Guilleminault, CH. Episodic nocturnal wanderings responsive to anticonvulsant drug therapy. Ann Neurol 1977;2:30-5.CrossRefGoogle ScholarPubMed
7Maselli, RA, Rosenberg, RS, Spire, JP. Episodic nocturnal wande rings in non-epileptic young patients. Sleep 1988;11:156-61.Google Scholar
8Halasz, P, Ujszaszi, Y, Gadoros, J. Are microarousals preceded by EEG-SW synchronisation precursors of confusional arousals? Sleep 1985;8:231-8.CrossRefGoogle Scholar
9Blatt, I, Peled, R, Gadoth, M, Lavie, P. The value of sleep recor ding in evaluating somnambulism in young adults. Electroenceph clin Neurophysiol 1991;78:408-12.CrossRefGoogle Scholar
10Mellman, TA, Uhde, TW. Electroencephalographic sleep in panic disorder. Arch gen Psychiat 1989;46:178-84.CrossRefGoogle ScholarPubMed
11Mahowald, MW, Schenck, CH. Status dissociatus - a new perspective on states of being. Sleep 1991;14:69–79.CrossRefGoogle Scholar
12Nausieda, PA, Weiner, WJ, Kaplan, LR, Weber, S, Klawans, HL. Sleepdisruption in the course of chronic levodopa therapy: an early feature of the levodopa psychosis. Clin Neuropharmacol 1982;5:183-94.CrossRefGoogle Scholar
13Charney, DS, Kales, A, Soldatos, CR, Nelson, JC. Somnambulistic-like episodes secondary to combined lithium-neuroleptic treatment. Br J Psychiat 1979;135:418-24.CrossRefGoogle ScholarPubMed
14Glassman, JM, Darko, D, Gillin, JC. Medication-induced somnam-bu lism in a patient with schizo-affective disorder. J clin Psychiat 1986;47:523-4.Google Scholar
15Borbely, AA, Akerstedt, T, Benoit, O, Holsboer, F, Oswald, I. Hypnotics and sleep physiology: a consensus report. Eur Arch Psychiat clinNeurosci 1991;241:13–21.CrossRefGoogle ScholarPubMed
16Murphy, DL, Campbell, IC, Costa, JL. The brain serotonergic system in the affective disorders. Prog Neuropsychopharmacol Biol Psychiat 1978;2:1–31.Google ScholarPubMed
17Sallanon, M, Janin, M, Buda, C, Jouvet, M. Serotoninergic mechanisms and sleep rebound. Brain Res 1983;268:95–104.CrossRefGoogle ScholarPubMed
18Wehr, TA, Sack, DA, Rosenthal, ME. Sleep reduction as a final common pathway in the genesis of mania. Am J Psychiat 1987;144:201-4.Google ScholarPubMed
19Linkowski, P, Kerkhofs, M, Riebaut, C, Mendlewicz, J. Sleep during mania in manic-depressive males. Eur Arch Psychiat neurol Sci 1986;235:339-41.CrossRefGoogle ScholarPubMed
20Hudson, JI, Lipinski, JF, Frankenburg, FR, Grochocinski, VJ, Kupfer, DJ. Electroencephalographic sleep in mania. Arch gen Psychiat 1988;144:201-4.Google Scholar
21Coccaro, EF. Central serotonin and impulsive agression. Br J Psychiat 1989;155(suppl 8):52–62.CrossRefGoogle Scholar
22Oswald, I, Evans, J. On serious violence during sleepwalking. Br J Psychiat 1985;147:688-91.CrossRefGoogle ScholarPubMed
23Rauch, PK, Stern, TA. Life-threatening injuries resulting from sleepwalking and night terrors. Psychosomatics 1986;27:62-4.CrossRefGoogle ScholarPubMed
24Barabas, G, Ferrari, M, Schemp, P. Childhood migraine and somnambulism. Neurology 1983;33:948-9.CrossRefGoogle ScholarPubMed
25Comings, DE, Comings, BG. A controlled study of Tourette Syndrome IV. Early development, sleep problems, allergies and handedness. Am J hum Genet 1987;41:822-38.Google Scholar
26Emrich, HM, Zerssen, DV, Kissling, W, Moller, HJ, Windorfer, A. Effect of sodium valproate on mania. The Gaba-hypothesis of affective disorders. Arch Psychiat Nervenkr 1980;229:1–16.CrossRefGoogle ScholarPubMed
27Nutt, D, Lawson, C. Panic attacks. A neurochemical overview of models and mechanisms. Br J Psychiat 1992;160:165-78.CrossRefGoogle ScholarPubMed
28Tamminga, CA, Thaker, GK, Ferraro, TN, Hare, TA. GABA-agonist treatment improves tardive dyskinesia. Lancet 1983;2:262-3.Google ScholarPubMed
29Vincent, SR, Hokfelt, T, Skirboll, LR, Wu, JJ. Hypothalamic g-aminobutyric acid neurons project to the neocortex. Science 1983;220:1309-11.CrossRefGoogle Scholar
30Hobson, JA, Mc Carley, RW. The brain as a dream state generator: an activation-synthesis hypothesis of the dream process. Am J Psychiat 1977;134:1135-48.Google ScholarPubMed