Teaching Neuro Images Neurology Resident and Fellow Section 2015 American Academy of Neurology Vignette Abnormal behavior during sleep with falls and injuries Excessive daytime sleepiness more prominent the last 10 years ID: 774756
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Slide1
A 76 year old man with automatic behavior during sleep
Teaching NeuroImagesNeurologyResident and Fellow Section
© 2015 American Academy of Neurology
Slide2Vignette
Abnormal behavior during sleep with falls and injuriesExcessive daytime sleepiness, more prominent the last 10 yearsRestless sleep, frequent arousals and awakeningsSleep episodes while standing followed by rhythmic marching and jumping and frequent falls
Bonakis et al.
© 2015 American Academy of Neurology
Slide3Bonakis
et al.
© 2015 American Academy of Neurology
Imaging
Slide4Bonakis et al.
Daytime sleepiness and automatic behavior due to severe restless leg syndrome
A reevaluation of patient’s history revealed symptoms compatible with RLS. Rotidigotine1 proved very effective supporting the diagnosis of RLS. PLM disorder leading to sleep related rhythmic movement disorder could also be considered. Automatic behavior denotes severe sleep deprivation2 and may represent a non-REM parasomnia. Severe RLS may present with automatic behavior complicating its diagnosis.
© 2015 American Academy of Neurology