Parasomnias, An Issue of Sleep Medicine Clinics

Mark Pressman

Description

Parasomnias can be roughly divided in Non-REM disorders and REM disorders, and this issue covers much of what is known today on the diagnosis and treatment of various types of parasomnias. Articles examine disorders such as sleepwalking, sleep sex, sleep violence, sleep eating, and diagnostic methods of these. The issue also delves into Forensic concerns, especially with regard to sleep violence. Other types of parasomnias discussed include sleep talking and sleep enuresis.

Sujets

• Thoracic Medicine
• Pulmonary Medicine
• Medical
• Médecine

Informations

• Publié par: Saunders
• Date de parution: 28 décembre 2011
• Nombre de lectures: 0
• EAN13: 9781455709557
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Clinics in Sleep Medicine , Vol. 6, No. 4, December 2011
ISSN: 1556-407X
doi: 10.1016/j.jsmc.2011.10.001

CME
CME Accreditation Page and Author Disclosure

Goal Statement
The goal of Sleep Clinics of North America is to keep practicing physicians up to date with current clinical practice by providing timely articles reviewing the state of the art in patient care.

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The Sleep Clinics of North America is planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Virginia School of Medicine and Elsevier. The University of Virginia School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The University of Virginia School of Medicine designates this enduring material activity for a maximum of 15 AMA PRA Category 1 Credit (s)™ for each issue, 60 credits per year. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Medical Association has determined that physicians not licensed in the US who participate in this CME enduring material activity are eligible for a maximum of 15 AMA PRA Category 1 Credit(s)™ for each issue, 60 credits per year.
Credit can be earned by reading the text material, taking the CME examination online at http://www.theclinics.com/home/cme , and completing the evaluation. After taking the test, you will be required to review any and all incorrect answers. Following completion of the test and evaluation, your credit will be awarded and you may print your certificate.

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The University of Virginia School of Medicine, as an ACCME accredited provider, endorses and strives to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards of Commercial Support, Commonwealth of Virginia statutes, University of Virginia policies and procedures, and associated federal and private regulations and guidelines on the need for disclosure and monitoring of proprietary and financial interests that may affect the scientific integrity and balance of content delivered in continuing medical education activities under our auspices.
The University of Virginia School of Medicine requires that all CME activities accredited through this institution be developed independently and be scientifically rigorous, balanced and objective in the presentation/discussion of its content, theories and practices.
All authors/editors participating in an accredited CME activity are expected to disclose to the readers relevant financial relationships with commercial entities occurring within the past 12 months (such as grants or research support, employee, consultant, stock holder, member of speakers bureau, etc.). The University of Virginia School of Medicine will employ appropriate mechanisms to resolve potential conflicts of interest to maintain the standards of fair and balanced education to the reader. Questions about specific strategies can be directed to the Office of Continuing Medical Education, University of Virginia School of Medicine, Charlottesville, Virginia.
The faculty and staff of the University of Virginia Office of Continuing Medical Education have no financial affiliations to disclose.
The authors/editors listed below have identified no professional or financial affiliations for themselves or their spouse/partner:
Sarah Barth (Acquisitions Editor); Cynthia Brown, MD (Test Author); Peter R. Buchanan, MD, FRACP; Elena del Busto, MD; A. Roger Ekirch, PhD; Mark W. Mahowald, MD; Angus Nisbet, BMedSci, BM, BS, FRCP; Mathieu Pilon, PhD; Mark R. Pressman, PhD, D.ABSM (Guest Editor); Carlos H. Schenck, MD; John M. Shneerson, MA, DM, MD, FRCP; Naoka Tachibana, MD, PhD; Kenneth J. Weiss, MD; and Antonio Zadra, PhD.
The authors/editors listed below identified the following professional or financial affiliations for themselves or their spouse/partner:
Dev Banerjee, MBChB, MD, FRCP is an industry funded research/investigator for Philips Respironics and Merck, and is on the Advisory Committee/Board for UCB PHarma (UK).
Michel A. Cramer Bornemann, MD receives industry funded research support from Vanda Pharmaceuticals, Pfizer, Inc., Inspire Medical systems, and GSK.
Michael J. Howell, MD receives salary support from Apnex Medical.
Teofilo Lee- Chiong, Jr, MD (Consulting Editor) is an industry funded research/investigator for Respironics and Embla.
Disclosure of Discussion of Non-FDA Approved Uses for Pharmaceutical Products and/or Medical Devices
The University of Virginia School of Medicine, as an ACCME provider, requires that all faculty presenters identify and disclose any off-label uses for pharmaceutical and medical device products. The University of Virginia School of Medicine recommends that each physician fully review all the available data on new products or procedures prior to clinical use.

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Clinics in Sleep Medicine , Vol. 6, No. 4, December 2011
ISSN: 1556-407X
doi: 10.1016/S1556-407X(11)00095-6

Forthcoming Issues
Clinics in Sleep Medicine , Vol. 6, No. 4, December 2011
ISSN: 1556-407X
doi: 10.1016/S1556-407X(11)00096-8

Contributors
Clinics in Sleep Medicine
Parasomnias
Mark R. Pressman, PhD, D.ABSM
Sleep Medicine Services, The Lankenau Medical Center and Lankenau Institute for Medical Research, 100 Lancaster Avenue, Wynnewood, PA 19096, USA
ISSN  1556-407X
Volume 6 • Number 4 • December 2011

Contents
Cover
CME Accreditation Page and Author Disclosure
Forthcoming Issues
Contributors
Foreword
Common Misconceptions About Sleepwalking and Other Parasomnias
State Dissociation: Implications for Sleep and Wakefulness, Consciousness, and Culpability
Sleepwalking
Sleep Sex
Sleep Eating
Sleep and Drug-Impaired Driving Overlap Syndrome
Non–Rapid Eye Movement Parasomnias: Diagnostic Methods
REM Sleep Behavior Disorder
Early American Jurisprudence of Sleep Violence
Nineteenth-Century Sleep Violence Cases: A Historical View
The Clinical Features of Sleep Violence in Arousal Disorders: A Historical Review
Index
Clinics in Sleep Medicine , Vol. 6, No. 4, December 2011
ISSN: 1556-407X
doi: 10.1016/j.jsmc.2011.08.010

CME
Foreword

Teofilo Lee-Chiong, Jr., MD ,
Division of Sleep Medicine, National Jewish Health, University of Colorado Denver School of Medicine, 1400 Jackson Street, Room J221, Denver, CO 60206, USA
E-mail address: [e-mail]


Teofilo Lee-Chiong Jr, MD, Consulting Editor
A man killed his wife by stabbing her twenty-five times with a kitchen knife. A man shot his wife to death with a handgun. A man brutally beat his mother-in-law to death with a tire iron. A mother threw her infant out of a window. A mother killed her daughter with an axe. A father smashed his infant son’s head on the floor. A grandfather videotaped his nude five-year-old granddaughter. A man pushed his wife into the family pool and held her head under water until she died. A man got into bed with a seven-year-old girl and tried to pull off her underwear. All these reports allegedly involved violent or abnormal behaviors occurring during the sleep period.
Forensics is increasingly becoming an important aspect of clinical sleep medicine and sleep science research. In its broadest sense, forensic sleep medicine seeks to answer several fundamental questions. What is the prevalence of violent sleep-related activities? How do we deal with the offender? How do we protect potential victims? How do we distinguish sleep-related violent behavior from other violent activities (eg, innate, learned, or defensive)? How should abnormal sleep-related behavior be evaluated? What is the best immediate therapy? What is the best long-term therapy? How effective are these therapies? What type of follow-up is needed? What is the likelihood of recurrence of sleep-related violence? What is the best way to deal with its associated legal issues?
The prevalence of sleep-related violence is unknown, but is considered to be not uncommon. Several sleep disorders are associated with sleep-related violence, including sundowning, confusional arousals, REM sleep behavior disorder, sleep terrors, sleepwalking, and sleep-related seizures. In addition, medication and substance use or abuse can give rise to nocturnal violent activities that can, in certain instances, lead to injuries to the sleeping person, others, or both. Many conditions may act as potential triggers for sleep-related violence, such as stress, sleep deprivation, or disturbances in sleep-wake schedules. Last, the differential diagnosis of sleep-related violence is extensive (eg, dissociative states, alcohol intoxication, fugue, encephalopathy, malingering, Munchausen’s by proxy, and, of course, intentional homicide). Thus, it is imperative to define its precise diagnosis, all predisposing factors, and possible mimics.
A comprehensive evaluation is crucial and should involve a thorough accounting of the specific details of the event(s) (ie, time and place of the occurrence, behavior and psychological state of the aggressor, prior violence by the aggressor, and degree of planning need