1045 Resolution of Sexsomnia with Positive Airway Pressure
نویسندگان
چکیده
Abstract Introduction Sexsomnia is an infrequently encountered non-rapid eye movement (NREM) arousal disorder that can overlap with obstructive sleep apnea (OSA). Treatment of underlying OSA has been reported to resolve sexsomnia episodes. Report case(s) A 26-year-old overweight man was referred our Sleep Disorders Center for evaluation possible “REM behavior disorder.” The patient’s wife he would fondle her breasts while slept. Episodes began 6 months prior his referral and occurred once every 1-2 months. During episodes, the patient did not get out bed. He recall events denied dream recall. had infant at home resultant deprivation. slept between 5-7 hours a night stated episodes were more common decreased total time. Additionally, recent increase in stressors after moving in-laws. On evaluation, endorsed bruxism which wore mouth guard. history sleepwalking elementary school. excessive daytime sleepiness, snoring, witnessed apneas, gasping arousals, morning headaches, unrefreshing sleep, insomnia, or substance use. advised time pursue baseline polysomnogram evaluate sleep-disordered breathing. demonstrated moderate (apnea/hypopnea index 17). Excessive arousals N3 reported. initiated on auto-titrating positive airway pressure (APAP) maintained adherence 2 At follow-up visit, no further nocturnal fondling PAP initiation despite persistent deprivation stressors. Conclusion This case highlights importance screening breathing coexist NREM parasomnias such as sexsomnia. Even patients without clear symptoms breathing, diagnosis, treatment could decrease frequency Although this study mainly limited by short duration, resolution demonstrates concurrent sleep-related disorders. Support (if any) None.
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ژورنال
عنوان ژورنال: Sleep
سال: 2023
ISSN: ['0302-5128']
DOI: https://doi.org/10.1093/sleep/zsad077.1045