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Violent Sleep-Related Behavior Leading to Subdural Hemorrhage
Journal article   Peer reviewed

Violent Sleep-Related Behavior Leading to Subdural Hemorrhage

Mark E Dyken, Deborah C Lin-Dyken, Peter Seaba and Thoru Yamada
Archives of neurology (Chicago), Vol.52(3), pp.318-321
03/01/1995
DOI: 10.1001/archneur.1995.00540270114028
PMID: 7872888

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Abstract

OBJECTIVE: To polysomnographically determine, using split-screen electroencephalographic-video analysis, the cause of violent sleep-related activity in a patient whose differential diagnosis includes sleep walking (somnambulism), pavor incubus (adult night terrors), nocturnal seizures, psychogenic wandering, and rapid eye movement sleep behavior disorder. SETTING: The patient was referred to the University of Iowa, Department of Neurology Sleep Disorders Center, Iowa City, from the local community to evaluate a history of violent dreams associated with injury. The subject presented with a subdural hemorrhage that was discovered with magnetic resonance imaging. OUTCOME: The diagnosis of rapid eye movement sleep behavior disorder was confirmed after a characteristic spell of violent behavior, with an associated dream, was captured polysomnographically.

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