From parasomnia to agrypnia excitata-An illustrative case on diagnostic approach

From parasomnia to agrypnia excitata-An illustrative case on diagnostic approach

The diagnostic approach to sleep-related movements disorders is seldom discussed. We report a case of fatal familial insomnia who initially presented with persistent limb movements in sleep, which later progressed to a state of agrypnia excitata. Here, the evaluation of abnormal movements in sleep i...

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Bibliographic Details
Main Authors: Fong, Si Lei, Closas, Alfand Marl F. Dy, Lim, Thien Thien, Lean, Phooi Leng, Loh, Ee Chin, Lim, Shen-Yang, Tan, Ai Huey
Format: Article
Published: Elsevier 2023
Subjects:
R Medicine
RD Surgery
Online Access:http://eprints.um.edu.my/38421/
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Institution: Universiti Malaya
Description
Summary:The diagnostic approach to sleep-related movements disorders is seldom discussed. We report a case of fatal familial insomnia who initially presented with persistent limb movements in sleep, which later progressed to a state of agrypnia excitata. Here, the evaluation of abnormal movements in sleep is discussed using a step-by-step diagnostic approach. Although no cure is available for fatal familial insomnia, prompt recognition of this condition is important to facilitate proper management, including the involvement of interdisciplinary neuropalliative care.

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