Résumé
ABSTRACT Objective: To report a case of recurrent isolated sleep paralysis (RISP), a benign parasomnia with worrisome and frightening sleep paralysis episodes. Case description: We describe a case of RISP in a sixteen-year-old girl who seeks medical attention for anxiety symptoms. The sleep paralysis and associated auditory and tactile hallucinations began three years before with worsening in the last year, causing fear of sleeping. The episodes were intensely frightening causing negative impact in patient's sleep, school performance and social function. Medical conditions were excluded, and she started treatment with a selective serotonin reuptake inhibitor with complete resolution of symptoms. Comments: Sleep complaints are often devalued. Therefore, clinicians should actively ask their patients about their sleep during health assessment.
RESUMO Objetivo: Relatar um caso de paralisia do sono isolada e recorrente (PSIR), uma parassonia benigna com episódios inquietantes e assustadores de paralisia do sono. Descrição do caso: Descreve-se um caso de PSIR de uma adolescente de dezesseis anos que buscou cuidados médicos devido a sintomas de ansiedade. A paralisia do sono e as alucinações auditivas e táteis associadas haviam começado três anos antes, com agravamento no último ano, causando medo de dormir. Os episódios eram extremamente perturbadores, gerando um impacto negativo no sono, desempenho escolar e vida social da paciente. Condições médicas foram excluídas e começou um tratamento com um inibidor seletivo da recaptação de serotonina, com resolução completa dos sintomas. Comentários: Queixas relacionadas ao sono são frequentemente subvalorizadas. Portanto, os médicos devem perguntar aos seus pacientes sobre problemas relacionados com o sono durante a avaliação clínica.
Sujets)
Humains , Femelle , Adolescent , Troubles de la veille et du sommeil/diagnostic , Paralysie du sommeil/complications , Paralysie du sommeil/psychologie , Peur/psychologie , Anxiété/étiologie , Anxiété/psychologie , Récidive , Troubles de la veille et du sommeil/étiologie , Changement social , Administration par voie orale , Résultat thérapeutique , Fluvoxamine/administration et posologie , Fluvoxamine/usage thérapeutique , Inbiteurs sélectifs de la recapture de la sérotonine/administration et posologie , Inbiteurs sélectifs de la recapture de la sérotonine/usage thérapeutique , Paralysie du sommeil/diagnostic , Paralysie du sommeil/traitement médicamenteux , Diagnostic différentiel , Performance scolaire/psychologie , Hallucinations/étiologie , Hallucinations/psychologieRésumé
Isolated sleep paralysis (disturbed sleep) is a condition in which a person is in a state of consciousness but is not able to move or speak in the bed even if he wants to. It is a dreadful condition for a person, in which he or she even fears to fall asleep. It can occur with or without being a part of a sleeping disorder named narcolepsy. According to Ayurveda conditions of isolated sleep paralysis occurring during rapid eye movements (REM) phase of sleep can be correlated to Tandra and Manovaha Sroto Dushti in a stressed individual (Alpa Satva Purush). Ayurveda has potential to treat sleep related disorders with the help of Panchkarma procedures namely Shirodhara. In modern medicine treatment of conditions like isolated sleep paralysis mainly depends on use of antidepressant and sedative medicines which has many side effects. In this case an effort has been made to treat a young male of 21 years with symptoms of helplessness or muscle atonia during initiation of his sleep hours with heaviness in chest, difficulty in respiration and choking sensation for past 2 years. Treatment given is Shirodhara for a period of 15 days with Brahmi oil and tablet Sarpangdha as an internal medicine. The result shows positive response by decreased frequency of attacks, time duration and other symptoms along with improvement in quality of life.
Résumé
This case report highlights a case of isolated sleep paralysis, a transient, generalized inability to move or speak that usually seen during the patient’s transitions between sleeping and wakefulness. Method: We report the case of a 44-year-old man with long standing recurrent isolated sleep paralysis and generalized anxiety disorder who sought help almost 20 years after the first onset of symptoms. The presenting manifestations of this disorder and its management are also discussed. Results: Isolated sleep paralysis is reported to occur with co-morbid anxiety disorders especially panic disorder. Its presentation may confuse the psychiatrist with other psychiatric disorders. Conclusion: It is important for psychiatrists to be aware of the presentation of a patient with isolated sleep paralysis and simultaneously understand the cultural undertones in such cases.
Résumé
We report two patients with frequent isolated sleep paralysis (SP). They have neither cataplexy nor daytime sleepiness, and there was no HLA DR2 or DQ1 association. We elicited one episode of sleep paralysis from a patient by a sleep interruption schedule. The polysomnographic recording during SP showed abundant alpha rhythm with persistent atonia, which indicate a concurrence of REM-atonia and wakefulness. The frequency of SP was markedly reduced by a use of clomipramine