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Sunday, July 10, 2011

PARASOMNIA

Parasomnias are a group of disorders exclusive to sleep and wake to sleep transition that encompass arousal with abnormal motor, behavioural or sensory experiences.

Types of Parasomnias
disorders from NREM
1.confusonal arousal
2. sleep waking
3. sleep terror
4.NFLE

disorders from REM
1. REM sleep behaviuor disorders
2. sleep paralysis
3.nightmare disorders

other parasomnias
1. sleep enuresis
2. sleep related groaning
3. sleep related eating disorders
4. exploding head syndrome
5. sleep related dissociative disorders

Diagnosis
Based on history, video EEG, PSG

Management
counceling and support
sleep hygine
Medications- BZD, SSRI, melatonin
behavior therapy, relaxation therapy etc

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