Abstract
Herein, we describe a case who presented with abnormal sexual behaviour during sleep. Video-electroencephalography monitoring during sleep revealed an abnormality suggesting an epileptic basis. The patient was successfully treated with carbamazepin. The psychiatric symptoms that were thought to be related to abnormal sexual behaviours were controlled with antipsychotic treatment. Our findings strongly emphasize the fact that efforts should be spent to increase awareness of seizure activity at night, which can be misinterpreted as benign parasomnias. Such a misinterpretation may have serious consequences, such as insufficient seizure control, progressive personality changes, and cognitive impairment. Turkish Başlık: Temporal Lob Eplepsili Bir Hastada Uyku Sırasında Ortaya Çıkan Anormal Seksüel Davranışlar Anahtar Kelimeler: Seksomni, uykuda anormal cinsel davranışlar, noktürnal epileptik nöbet, temporal lob epilepsisi Uyku sırasında anormal cinsel davranışlar gösteren bir vaka sunulmuştur. Video monitorizasyon ile birlikte yapılan uyku elektroensefalografisi (EEG)kaydında anormal cinsel davanışların görüldüğü dönemde parasomniyi düşündüren EEG bulgularının olmasına rağmen bu dönemlerin dışında sağ temporal bölgede nöronal hipereksitabilitesinin bulunması vakada seksomni-epilepsi ayırıcı tanısının yapılmasını gerektirmiştir. Vakada tanı önceliği epilepsiye verilmiş ve karbamazepin ile başarılı bir şekilde tedavi sağlanmıştır. Tedavi sırasında ortaya çıkan psikotik semptomlar antipsikotik tedaviyle kontrol altına alınmıştır. Bulgularımız uykuda ortaya çıkan epileptic nöbetlerin parasomni ile karışabileceği ve bu karışıklığın nöbet kontrolsüzlüğü, kişilik değişiklikleri ve kognitif yıkım gibi ciddi sonuçlara yol açabileceğini vurgulamaktadır.
References
- Tinuper P, Provini F, Bisulli F, Vignatelli L, Plazzi G, Vetrugno R, et al. Movement disorders in sleep: guidelines for differentiat- ing epileptic from non-epileptic motor phenomena arising from sleep. Sleep Med Rev 2007;11:255-67. [CrossRef]
- Trajanovic NN, Mangan M, Shapiro CM. Sexual behaviour in sleep: an internet survey. Soc Psychiatry Psychiatr Epidemiol 2007;42:1024-31. [CrossRef]
- Schenck CH, Arnulf I, Mahowald MW. Sleep and sex: what can go wrong? A review of the literature on sleep related disorders and ab- normal sexual behaviors and experiences. Sleep 2007;30:683-702.
- Silvestri R, Bromfield E. Recurrent nightmares and disorders of arousal in temporal lobe epilepsy. Brain Res Bull 2004;63:369-76. [CrossRef]
- Guilleminault C, Moscovitch A, Yuen K, Poyares D. Atypical sexu- al behaviour during sleep. Psychosomatic Med 2002;64:328-36.
- Arnedo V, Parker-Menzer K, Devinsky O. Forced spousal inter- course after seizures. Epilepsy Behav 2009;16:563-4. [CrossRef]
- Béjot Y, Juenet N, Garrouty R, Maltaverne D, Nicolleau L, Giroud M, et al. Sexsomnia: an uncommon variety of parasomnia. Clin Neurol Neurosurg 2010;112:72-5. [CrossRef]
- Andersen ML, Poyares D, Alves RS, Skomro R, Tufik S. Sexom- nia: Abnormal sexual behaviour during sleep. Brain Res Rev 2007;56:271-82. [CrossRef]
- Devinsky J, Schachter S. Norman Geschwind’s contribution to the understanding of behavioral changes in temporal lobe epi- lepsy: the February 1974 lecture. Epilepsy Behav 2009;15:417- 24. [CrossRef]
- Touchon J, Baldy-Moulinier M, Billiard M, Besset A, Cadilhac J. Sleep organization and epilepsy. Epilepsy Res Suppl 1991;2:73-81. 213 2012; 29: 211-3 Pelin and Yazla
- Sexomnia or Epileptic Seizure
Abstract
References
- Tinuper P, Provini F, Bisulli F, Vignatelli L, Plazzi G, Vetrugno R, et al. Movement disorders in sleep: guidelines for differentiat- ing epileptic from non-epileptic motor phenomena arising from sleep. Sleep Med Rev 2007;11:255-67. [CrossRef]
- Trajanovic NN, Mangan M, Shapiro CM. Sexual behaviour in sleep: an internet survey. Soc Psychiatry Psychiatr Epidemiol 2007;42:1024-31. [CrossRef]
- Schenck CH, Arnulf I, Mahowald MW. Sleep and sex: what can go wrong? A review of the literature on sleep related disorders and ab- normal sexual behaviors and experiences. Sleep 2007;30:683-702.
- Silvestri R, Bromfield E. Recurrent nightmares and disorders of arousal in temporal lobe epilepsy. Brain Res Bull 2004;63:369-76. [CrossRef]
- Guilleminault C, Moscovitch A, Yuen K, Poyares D. Atypical sexu- al behaviour during sleep. Psychosomatic Med 2002;64:328-36.
- Arnedo V, Parker-Menzer K, Devinsky O. Forced spousal inter- course after seizures. Epilepsy Behav 2009;16:563-4. [CrossRef]
- Béjot Y, Juenet N, Garrouty R, Maltaverne D, Nicolleau L, Giroud M, et al. Sexsomnia: an uncommon variety of parasomnia. Clin Neurol Neurosurg 2010;112:72-5. [CrossRef]
- Andersen ML, Poyares D, Alves RS, Skomro R, Tufik S. Sexom- nia: Abnormal sexual behaviour during sleep. Brain Res Rev 2007;56:271-82. [CrossRef]
- Devinsky J, Schachter S. Norman Geschwind’s contribution to the understanding of behavioral changes in temporal lobe epi- lepsy: the February 1974 lecture. Epilepsy Behav 2009;15:417- 24. [CrossRef]
- Touchon J, Baldy-Moulinier M, Billiard M, Besset A, Cadilhac J. Sleep organization and epilepsy. Epilepsy Res Suppl 1991;2:73-81. 213 2012; 29: 211-3 Pelin and Yazla
- Sexomnia or Epileptic Seizure
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | February 1, 2012 |
| Published in Issue | Year 2012 Volume: 2012 Issue: 2 |