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Yıl:2012; Cilt: 1; Sayı: 2>> Özet
TAM METİN
NPAkademi; 2012;1(2):36-42
Parasomniyalar
GH Sayar, E Özten, N Tarhan
Nöropsikiyatri İstanbul Hastanesi, İstanbul
Parasomniyalar, uyku veya uyku-uyanıklık geçişlerinin belirli aşamaları ile ilişkili ortaya çıkan, uyku sırasında yürüme veya konuşma gibi, istenmeyen fiziksel veya sözel davranışlar ile karakterizedir. Uluslararası Uyku Bozuklukları Sınıflaması parasomnileri dört gruba ayırır: Uyarılma bozukluğu, uyku-uyanıklık geçişi bozuklukları, hızlı göz hareketleri (REM) evresi uyku bozuklukları ve diğer parasomniyalar. Parasomniyalar, aşırı motor aktivite ve diğer karmaşık motor davranışlar eşliğinde ortaya çıktığında, hastanın ve partnerinin yaşam kalitesini etkileyebilir. Motor davranışlar, yatak ile sınırlı olabilir veya olmayabilir ancak hastanın hareket halinde veya ajite olması tehlikeli olabilir. Davranışlar amaca veya hedefe yönelik görünebilir ancak ortaya çıkma zamanı ile uyumsuzdur. Bu nedenle, uygun tanı ve tedavi stratejileri gereklidir.
Parasomnias
Parasomnias are characterized by undesirable physical or verbal behaviors, such as walking or talking during sleep and occur in association with sleep, specific stages of sleep or sleep-wake transitions. The International Classification of Sleep Disorders subdivides parasomnias into the following four groups: Arousal disorders, sleepwake transition disorders, rapid eye movement (REM) stage sleep parasomnias, and other parasomnias. When accompanied with excessive motor activity and other complex motor behaviors, these parasomnias may significantly affect the patient’s quality of life and that of the bed partner. Motor behaviors may or may not be restricted to bed but can become dangerous when the subject ambulates or is agitated. The behaviors are inappropriate for the time of occurrence but may seem purposeful or goal directed. Therefore, appropriate diagnostic and therapeutic strategies are needed.

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