Parasomnias and other sleep-related movement disorders

Prim Care. 2005 Jun;32(2):415-34. doi: 10.1016/j.pop.2005.02.001.


Parasomnias are common clinical complaints. Formal sleep evaluation including PSG is indicated for parasomnias that are violent and potentially injurious; disruptive to the bed partner or other household members; accompanied by excessive daytime sleepiness; or associated with medical,psychiatric, or neurologic symptoms or findings [2]. Multiple sleep latency testing should be considered for patients who have complaints of excessive daytime sleepiness. An extensive history, including medical, neurologic,psychiatric, and sleep disorder, and a review of medication, alcohol, illicit drug use, and family history of parasomnias, may provide useful clues. Distinguishing between a parasomnia and a seizure may be difficult as both can present as recurrent, stereotypical behaviors. Evaluation may be aided by an expanded EEG montage during overnight PSG studies.

Publication types

  • Review

MeSH terms

  • Humans
  • Parasomnias / diagnosis*
  • Parasomnias / physiopathology
  • Primary Health Care
  • Sleep Bruxism / diagnosis
  • Sleep Bruxism / physiopathology
  • Sleep-Wake Transition Disorders / diagnosis
  • Sleep-Wake Transition Disorders / physiopathology
  • Somnambulism / diagnosis
  • Somnambulism / physiopathology