- Atypical presentation for a parasomnia (time of night, behavioral description)
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- Events are injurious or have significant potential for injury or significant disturbance to patient's home life
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- Unusual frequency of the events
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- Patient has excessive daytime sleepiness or complaints of insomnia
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- Complaints suggestive of sleep apnea, periodic limb movements, or other sleep disorders
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- Events are stereotyped or repetitive
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