Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults.
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BORIS DOI
Date of Publication
March 27, 2023
Publication Type
Article
Division/Institute
Author
Mainieri, Greta | |
Loddo, Giuseppe | |
Provini, Federica | |
Nobili, Lino |
Subject(s)
Series
Diagnostics
ISSN or ISBN (if monograph)
2075-4418
Publisher
MDPI
Language
English
Publisher DOI
PubMed ID
37046480
Uncontrolled Keywords
Description
Non-rapid eye movement (NREM) sleep parasomnias are recurrent abnormal behaviors emerging as incomplete arousals out of NREM sleep. Mounting evidence on NREM sleep parasomnias calls for an update of clinical and therapeutical strategies. In the current review, we summarize the state of the art and provide the necessary background to stimulate a critical revision of diagnostic criteria of disorders of arousal (DoA), the most common NREM sleep parasomnia. In particular, we highlight the poor sensitivity of the diagnostic items related to amnesia and absence of conscious experiences during DoA episodes, encourage the role of video-polysomnography and home-video recordings in the diagnostic and treatment work-up, and suggest three levels of diagnostic certainty based on clinical and objective findings. Furthermore, we highlight current gaps of knowledge that prevent the definition of standard guidelines and future research avenues.
File(s)
File | File Type | Format | Size | License | Publisher/Copright statement | Content | |
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diagnostics-13-01261-v2.pdf | text | Adobe PDF | 1.16 MB | Attribution (CC BY 4.0) | published |