BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 引发睡眠片段化/剥夺的已知条件
  • 发作期间常规的体格检查
  • 事件中认知障碍(意识模糊性觉醒、睡惊症和睡行症)
  • 发作间期认知障碍(快速动眼睡眠行为障碍[RBD])

其他诊断因素

  • 异常面部表情(意识模糊性觉醒、睡惊症和睡行症、快速动眼睡眠行为障碍[RBD])
  • 帕金森症状(快速动眼睡眠行为障碍[RBD])

危险因素

  • 儿童异睡症(非REM[NREM]异睡症)
  • 60岁以上(快速动眼睡眠行为障碍[RBD])
  • 男性(快速动眼睡眠行为障碍[RBD])
  • 女性(梦魇,复发性单纯性睡眠麻痹)

诊断性检查

首要检查

  • 夜间多导睡眠监测仪(PSG)(快速动眼睡眠行为障碍[RBD])
全部具体信息

需要考虑的检查

  • 夜间多导睡眠监测仪(PSG)(意识模糊性觉醒)
  • 夜间多导睡眠监测仪(PSG)(睡行症)
  • 夜间多导睡眠监测仪(PSG)(梦魇)
  • 夜间多导睡眠监测仪(PSG)(睡惊症)
全部具体信息

治疗流程

贡献者

Associate Professor

Director of the Sleep Fellowship Program

Neurology Department

Northwestern University

Chicago

IL

利益冲突披露
HA is an author of a number of references cited in this monograph.

Dr Hrayr Attarian would like to gratefully acknowledge Dr Pierre Giglio, a previous contributor to this monograph. PG declares that he has no competing interests.

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Baylor College of Medicine

Texas Children's Hospital

Clinical Care Center

Houston

TX

利益冲突披露
BH declares that she has no competing interests.

Professor and Chairman

Department of Neurology

Hennepin County Medical Center

Minneapolis

MN

利益冲突披露
MM is an author of a number of references cited in this monograph.

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