Parasomnias Flashcards
What stage of sleep does Sleep Related Eating Disorder occur in?
Mostly N3 sleep but it can occur in any NREM sleep stage
What meds can be used to treat Sleep Related Eating Disorder?
- Dopaminergic agents
- Opioids
- Topiramate
What 2 meds could cause a Sleep Related Eating Disorder?
Zolpidem
Olanzapine
What are the 5 features for disorders of arousal?
- Recurrent episodes
- Not responsive during episodes
- No dreaming imagery during event
- No memory of event
- Not better explained by anything else
What can cause an acute form of RBD (4)?
- Caffeine intoxication
- EtOH withdrawal
- TCAs
- SSRIs
Name 3 treatments for sleep disorders related to PTSD?
- Prazosin
- Imagery related therapy
- Cognitive behavioral therapy for insomnia
What is the 1/2 life of clonazepam?
30 to 40 hours
What sleep stage does sleep paralysis occur in?
REM
What sleep stage do hypnogogic hallucinations occur in?
No specific stage. They occur in the transition from wake to sleep
Enuresis occurs at what age?
5 and older
How often does enuresis need to occur to be considered a disorder?
At least 2 times per week
What is primary enuresis and what are treatment options?
Pt has never completely developed nocturnal continence.
Desmopressin can be used short term. Behavioral modification (limit fluids, alarms, urinate before bed) can be used.
What is secondary enuresis?
Pt was continent before the disorder developed, usually for several years
At what age does sleepwalking typically start?
4 to 6 years old
