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Clinical features of non-rapid eye movement (NREM) parasomnias in adults

Clinical features of non-rapid eye movement (NREM) parasomnias in adults
  Confusional arousals Sleep terrors Sleepwalking Sleep-related abnormal sexual behavior Sleep-related eating disorder
Timing at night First third of the major sleep period, less commonly in the morning during transition from sleep to wakefulness or during light NREM sleep First third of the major sleep period First third of the major sleep period First third of the major sleep period First third of the major sleep period
Gender distribution Equal Equal Equal Males > females Females > males
Event semiology Confusion and disorientation during an arousal from sleep; slow speech devoid of content Screaming, agitation, intense fear, facial flushing, sweating; inconsolable, difficult to arouse Slow and quiet ambulation, occasionally with more agitated behaviors Abnormal sexual behaviors without awareness Involuntary eating associated with diminished level of consciousness during an arousal from sleep
Event duration 3 to 15 minutes 3 to 15 minutes 3 to 15 minutes 3 to 15 minutes 3 to 15 minutes
Event recall Typically none May have partial dream recollection after event Typically none Typically none May have partial awareness during event or recall after event
PSG characteristics Slow wave sleep, with rhythmic theta or delta activity Slow wave sleep, with rhythmic theta or delta activity; prominent tachycardia, increase in EMG tone Slow wave sleep, with rhythmic theta or delta activity Slow wave sleep, with rhythmic theta or delta activity Slow wave sleep, with rhythmic theta or delta activity; rhythmic masticatory muscle activity on EMG
EMG: electromyography; NREM: non-rapid eye movement; PSG: polysomnography.
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