期刊
CHEST
卷 131, 期 4, 页码 1260-1266出版社
ELSEVIER
DOI: 10.1378/chest.06-1602
关键词
alternating leg muscle activation; benign sleep myoclonus of infancy; bruxism; excessive fragmentary myoclonus; hypnagogic foot tremor; movement disorders; nocturnal leg cramps; rhythmic movement disorder; sleep; sleep-related movement disorders; sleep starts
Simple sleep-related movement disorders must be distinguished from daytime movement disorders that persist during sleep, sleep-related epilepsy, and parasomnias, which are generally characterized by activity that appears to be simultaneously complex, goal-directed, and purposeful but is outside the conscious awareness of the patient and, therefore, inappropriate. Once it is determined that the patient has a simple sleep-related movement disorder, the part of the body affected by the movement and the age of the patient give clues as to which sleep-related movement disorder is present. In some cases, all-night polysomnography with accompanying video may be necessary to make the diagnosis. Hypnic jerks (ie, sleep starts), bruxism, rhythmic movement disorder (ie, head banging/body rocking), and nocturnal leg cramps are discussed in addition to less well-appreciated disorders such as benign sleep myoclonus of infancy, excessive fragmentary myoclonus, and hypnagogic foot tremor/alternating leg muscle activation.
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