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Sleep Med. 2013 Nov;14(11):1187-91. doi: 10.1016/j.sleep.2013.04.029. Epub 2013 Aug 29.

Daytime somnolence in adult sleepwalkers.

Author information

1
Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Cœur, Montreal, Canada; Department of Medicine, Université de Montréal, Service of Neurology, Hôpital du Sacré-Coeur, Montreal, Canada.

Abstract

OBJECTIVES:

Sleepwalkers often complain of excessive daytime somnolence (EDS). Our retrospective study aimed to document the presence of EDS in a substantial sample of sleepwalkers and to explore the contribution of other sleep disorders, nocturnal sleep disruption, and sleep depth to the alteration of their daytime vigilance.

METHODS:

Seventy adult sleepwalkers and 70 control subjects completed the Epworth Sleepiness Scale (ESS). Sleepwalkers also were studied for one night in the sleep laboratory. We compared the sleep profiles of 32 somnolent vs 38 nonsomnolent sleepwalkers and investigated the relationship between ESS scores and sleep-related variables.

RESULTS:

No differences were found in polysomnographic (PSG) parameters. Slow-wave activity (SWA) also was similar in the two subgroups. Sleepwalkers' ESS scores were not correlated with their body mass index (BMI) or periodic limb movements during sleep (PLMS) index, but they tended to be negatively correlated with indices of respiratory events.

CONCLUSIONS:

The EDS reported by adult sleepwalkers does not appear to be explained by the presence of concomitant sleep disorders or PSG signs of nocturnal sleep disruption. These results raise the possibility that EDS is part of the sleepwalking phenotype and that it is linked to its underlying pathophysiology.

KEYWORDS:

Epworth Sleepiness Scale; Parasomnia; Quantitative EEG; Sleepwalking; Slow-wave activity; Somnolence

PMID:
24051112
DOI:
10.1016/j.sleep.2013.04.029
[Indexed for MEDLINE]

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