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The dangers of sleepwalking

About sleepwalking

"Somnambulism & noctambulism"

combined sleep and wakefulness

"sleep disorder"

Sleepwalking

Psychiatry

Sleep medicine

What happen ?

1

3

2

5

4

What happen ?

sitting up in bed, walking to a bathroom

driving a motor vehicle

as benign as talking

violent gestures and grabbing at hallucinated objects

consuming food, and cleaning, or as hazardous as cooking

With more details...

"Sleepwalkers often have little or no memory of the incident"

Eyes open, expression dim and glazed over.

May last from 30 seconds to 30 minutes.

With more details...

“Repeated behaviors”

“little or no memory of the incident ”

“from 30 seconds to 30 minutes”

When ?

When ?

During slow-wave sleep of non-rapid eye movement sleep cycles.

The first third of the night when slow-wave sleep is most prominent.

Once in a night, if at all.

Signs and symptoms

dream content

dream-congruent motor behavior

impaired perception of the environment

impaired judgement, planning and problem-solving

Glassy-eyed stare or blank expression with dilated pupils.

Disoriented : confused and perplexed,

May talk while sleepwalking, but no sense.

The

Problems

Associated disorders

"Sleepwalking and Sleep Terrors in Prepubertal Children"

Associated disorders

Consequences

Injuries at some point during sleepwalking

cuts, bruises...

Fractured bones, fall !

Embarrassment

Differential diagnoses

Sleepwalking and blackouts are not the same !

Alcohol-induced blackout (drug-related amnesia),

conversations or driving a vehicle...

Brain, memories

Rapid eye movement sleep behavior disorder, confusional arousals, night terrors.

Treatment

psychological or pharmacological intervention

psychoanalysis, hypnosis, scheduled or anticipatory waking

Treatment

anticholinergic, antiepileptics, antipsychotic, benzodiazepines

Safety planning

Safety planning

interrupt the sleepwalking episode

should not have easily accessible weapons

check on the person

door alarm

the ground floor of a home

Conclusion

History

Drama

Mary Hoare's painting Lady Macbeth, Sleepwalking

William Shakespeare's

Literature

Bram Stoker's novel Dracula

Historical cases :

Jules Lowe's case.

Brian Thomas's case.

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