Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Case 32 Violent tongue biting recurring during sleep
- Case 33 A child with behavioral problems and violent sleep behavior leading to trauma
- Case 34 Clicking all night
- Case 35 Repetitive arm movements
- Case 36 Restlessness and jerking upon recumbency when trying to fall asleep
- Case 37 Jumping and yelling while asleep
- Case 38 A case of attention deficit
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Case 33 - A child with behavioral problems and violent sleep behavior leading to trauma
from Part VII - Sleep-related movement disorders
Published online by Cambridge University Press: 10 November 2010
Edited by
Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Case 32 Violent tongue biting recurring during sleep
- Case 33 A child with behavioral problems and violent sleep behavior leading to trauma
- Case 34 Clicking all night
- Case 35 Repetitive arm movements
- Case 36 Restlessness and jerking upon recumbency when trying to fall asleep
- Case 37 Jumping and yelling while asleep
- Case 38 A case of attention deficit
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Summary
This chapter presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on a girl with a history of attention deficit hyperactivity disorder (ADHD). She was admitted to address significant behavioral problems that included prolonged rocking behaviors that often disrupted the patient's sleep. Vital signs were unremarkable, and developmentally she was Tanner stage 1, with a weight of 27.4 kg and a height of 130.5 cm. An MRI of the brain was performed to rule out neurological injury given the tight heel cords, brisk muscle stretch reflexes and right foot weakness. The patient's history and polysomnography (PSG) analysis are classical for rhythmic movement disorder (RMD); classified in ICSD-2 as a sleep-related movement disorder. To address the patient's mild gross motor delay, there was a recommendation for continued opportunities to engage in a variety of gross motor activities, with caution regarding those requiring balance/bilateral coordination.
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- Information
- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 234 - 241Publisher: Cambridge University PressPrint publication year: 2010