Jactatio capitis nocturna with persistence in adulthood: case report
Arq. neuropsiquiatr
; Arq. neuropsiquiatr;56(3B): 655-7, set. 1998.
Article
in En
| LILACS
| ID: lil-220894
Responsible library:
BR1.1
RESUMO
Rhythmic movement disorder, also known as jactatio capitis nocturna, is an infancy and childhood sleep-related disorder charactherized by repetitive movements occurring immediately prior to sleep onset and sustained into light sleep. We report a 19-year-old man with a history of headbanging and repetitive bodyrocking since infancy, occurring on a daily basis at sleep onset. He was born a premature baby but psychomotor milestones were unremarkable. Physical and neurological diagnostic workups were unremarkable. A hospital-based sleep study showed total sleep time 178 min; sleep efficiency index 35.8; sleep latency 65 min; REM latency 189 mim. There were no respiratory events and head movements occurred at 4/min during wakefulness, stages 1 and 2 NREM sleep. No tonic or phasic electromyographic abnormalities were recorded during REM sleep. A clinical diagnosis of rhythmic movement disorder was performed on the basis of the clinical and sleep studies data. Clonazepam (0.5 mg/day) and midazolam (15 mg/day) yielded no clinical improvement. Imipramine (10 mg/day) produced good clinical outcome. In summary, we report a RDM case with atypical clinical and therapeutical features.
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Sleep Wake Disorders
/
Sleep, REM
/
Stereotypic Movement Disorder
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Arq. neuropsiquiatr
Journal subject:
NEUROLOGIA
/
PSIQUIATRIA
Year:
1998
Document type:
Article
Country of publication:
Brazil