Sleepwalking disorder

Berlin R. Sleepwalking disorder during pregnancy a case report. Sleep 1988 11 298-300. 

Nightmare disorder Sleep terror disorder Sleepwalking disorder Parasomnia not otherwise specified Sleep disorders related to another mental disorder Insomnia related to another mental disorder Hypersomnia related to another mental disorder Other sleep disorders... 

Parasomnias are adverse events that either occur during sleep or are exaggerated by sleep. Many of these disorders are considered to be disorders of partial arousal from various sleep stages. Examples of parasomnias are sleepwalking disorder, sleep terror disorder, and nightmare disorder. 

Non-REM parasomnias have variable prevalence rates depending on patient age and different diagnoses. Sleep talking, brux-ism, sleepwalking, sleep terrors, and enuresis occur more frequently in childhood than in adulthood. Nightmares appear to occur with similar frequency in adults and children. REM behavior disorder (RBD), an REM-sleep parasomnia, has a reported prevalence of 0.5% and frequently is associated with concomitant neurologic conditions.16 Chronic RBD is more common in elderly men and may have a familial disposition. 

Sleep-related eating disorder—A kind of sleepwalking where the person gets up (after falling asleep), goes to the kitchen, and proceeds to eat a substantial amount of food, then returns to bed and awakens the next morning with no memory of it. 

A 52-year-old man with bipolar I disorder and a family history of sleepwalking took olanzapine 10 mg/day and after several days had episodes of sleep-related eating disorder, witnessed by his wife he had no memory of these episodes. After olanzapine withdrawal, the episodes disappeared rapidly. 

A 14-year-old boy with major depressive disorder responded to paroxetine 20 mg/day with full remission of depressive symptoms except insomnia (16). Diphenhydramine and trazodone did not improve his sleep and caused excessive daytime drowsiness. He then responded well to zaleplon 10 mg, but when he took two extra tablets 3 weeks later he developed complex behavior and sleepwalking. He had slurred speech, was slow in responding to questions, was moderately confused, and was uncoordinated and moved slowly. Physical examination, routine laboratory investigations, and an electrocardiogram were all normal. He remained in hospital for 8 hours and awakened without any memory of his activities. His mental state at 1 week and 1 month were both normal. 

The 10-year-old client has begun to sleepwalk, a parasomnia disorder. Which information should the nurse provide the parents of the child Select all that apply. 

Strattera is administered for attention deficit-hyperactivity disorder (ADHD), not for sleepwalking. 

Hoque R, Chesson AL Jr. Zolpidem-induced sleepwalking, sleep related eating disorder, and sleep-driving fluorine-18-flourodeoxyglucose positron emission tomography analysis, and a literature review of other unexpected clinical effects of zolpi-dem. J Clin Sleep Med 2009 5 471-6. 

Parasomnias Sleep arousal disorders that involve nightmares or movements such as sleepwalking, teeth grinding, or restless leg syndrome. 

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