Mainieri, Greta; Loddo, Giuseppe; Provini, Federica; Nobili, Lino; Manconi, Mauro; Castelnovo, Anna (2023). Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults. Diagnostics, 13(7) MDPI 10.3390/diagnostics13071261
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Non-rapid eye movement (NREM) sleep parasomnias are recurrent abnormal behaviors emerging as incomplete arousals out of NREM sleep. Mounting evidence on NREM sleep parasomnias calls for an update of clinical and therapeutical strategies. In the current review, we summarize the state of the art and provide the necessary background to stimulate a critical revision of diagnostic criteria of disorders of arousal (DoA), the most common NREM sleep parasomnia. In particular, we highlight the poor sensitivity of the diagnostic items related to amnesia and absence of conscious experiences during DoA episodes, encourage the role of video-polysomnography and home-video recordings in the diagnostic and treatment work-up, and suggest three levels of diagnostic certainty based on clinical and objective findings. Furthermore, we highlight current gaps of knowledge that prevent the definition of standard guidelines and future research avenues.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy 04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology |
UniBE Contributor: |
Manconi, Mauro, Castelnovo, Anna |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2075-4418 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
14 Apr 2023 13:36 |
Last Modified: |
15 Apr 2023 15:14 |
Publisher DOI: |
10.3390/diagnostics13071261 |
PubMed ID: |
37046480 |
Uncontrolled Keywords: |
NREM sleep parasomnias confusional arousal disorders of arousal sexsomnia sleep terror sleep-related eating disorder sleepwalking |
BORIS DOI: |
10.48350/181713 |
URI: |
https://boris.unibe.ch/id/eprint/181713 |
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