Monday, 06 September 2010

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Dyssomnia and parasomnias

The Dyssomnia

They form a set of sleep disorders consisting of an alteration of the quantity and quality of sleep.

There are three types of Dyssomnia:
  1. Deficiencies in sleep - these are the sleepless nights.
  2. Excess sleep - these are the hypersomnia:
    1. Narcolepsy-cataplexy: excessive daytime sleepiness with sleep attacks.
    2. The idiopathic hypersomnia: Daytime sleepiness, whose provenance is unknow. 
    3. The recurrent hypersomnia: episodes of vaying duration, where the subject is sleeping more than normal.
    4. The psychiatric hypersomnia: Daytime sleepiness cause by a mental disorder.
    5. The hypersomnia secondary to medical conditions.
  3. The circadian rhythm disorder (or sleep-wake)
    1. Syndrome of delayed sleep phase: delayed sleep schedule.
    2. Syndrome phase advance of sleep: sleep schedule advanced.
    3. Hypernycthéméral syndrome (or syndrome vent). lack of synchronisation of circadian rhythm.
    4. Sleep-wake cycle irregular: sleep episode desorganized.
    5. Jetlag: alteration of circadian rhythm
    6. Shift work: irregular work hour.
    7. Do not confuse Dyssomnia and parasomnias, which are behavioral disorders occurring in the margins of sleep.

Parasomnias

It is a series of events accompanying sleep, they may be pathological as physiological.

Classification of parasomnias
  1. Parasomnias by arousal disorders or parasomnias deep sleep
    1. Confusional arousals: episode of confusion occuring before or after sleep.
    2. Somnambulism: sleepwalking.
    3. Nocturnal fright: terified child apparently confused, but still asleep.
  2. Parasomnias by impaired sleep-wake transitions
    1. Ryhme sleep.
    2. Sleep myoclonus: fast twich occuring in sleep.
    3. Nocturnal cramps in the legs.
    4. Hypnopompic or hypnagogic hallucinations: falling asleep hallucianation or waking.
  3. Parasomnias usually associated with REM sleep (dreams)
    1. Nightmares: bad dream
    2. Sleep paralysis: atonia during sleep.
    3. Sleep behavior disorders during (RBD): living dreams
  4. Other nonspecific parasomnias sleep
    1. Bruxism: teeth grinding during sleep.
    2. Enuresis: inability to control urination.
    3. Somniloquy: sleep talking
    4. Catathrenia: groan or nocturn grunt.
    5. Exploding head syndrome: intense headache.
    6. Eating disorder of sleep.