Dissociation : Vol. 2, No. 4, p. 194-204 : Dissociative Disorders Presenting as Somnambuism Polysomnographic, Video and Clinical Documentation (8 Cases)

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dc.contributor.author Schenck, Carlos H.
dc.contributor.author Milner, Donna M.
dc.contributor.author Hurwitz, Thomas D.
dc.contributor.author Bundlie, Scott R.
dc.contributor.author Mahowald, Mark W.
dc.date.accessioned 2005-10-07T16:24:42Z
dc.date.available 2005-10-07T16:24:42Z
dc.date.issued 1989-12
dc.identifier.issn 0896-2863
dc.identifier.uri http://hdl.handle.net/1794/1487
dc.description p. 194-204 en
dc.description.abstract A polysomnographic (PSG) and clinical study of 150 consecutive patients presenting to a sleep disorders center during a 7.5 year period for evaluation of repeated sleep-related injury (ecchymoses, lacerations, fractures) identified 5.3percent (N=8) with Dissociative Disorders (DDs) as the cause of the injuries, and whose presenting diagnosis was somnambulism. 87.5 percent (7/8) were female, and the mean age at referral was 29.5 (+/-SD 6.1) years. Two patients fulfilled DSM-111-R criteria for Multiple Personality Disorder (MPD). The six other patients were diagnosed as Dissociative Disorders Not Otherwise Specified, but were strongly suspected to have MPD. One patient had an exclusively nocturnal, animalistic DD: a 19 year old male who had acted like a large jungle cat twice weekly for 4 years. PSG studies were diagnostic for nocturnal DD in 50 percent (4/8) of the cases (including that of the jungle cat), with distinctly altered, complex, repetitive and lengthy behaviors emerging suddenly from sustained electroencephalographic wakefulness. PSG studies supported the diagnosis of DD as the cause of nocturnal injury in the other 50 percent (4/8) of the cases: i) by not detecting seizure activity, NREM/REM sleep motor abnormality or sleep breathing disturbance, and ii) when correlated with the clinical history of chronic daytime DDs. en
dc.format.extent 440191 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US en
dc.publisher Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation en
dc.title Dissociation : Vol. 2, No. 4, p. 194-204 : Dissociative Disorders Presenting as Somnambuism Polysomnographic, Video and Clinical Documentation (8 Cases) en
dc.title.alternative Dissociative Disorders Presenting as Somnambuism Polysomnographic, Video and Clinical Documentation (8 Cases) en
dc.type Article en


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