Sleepwalking (somnambulism)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Sleepwalking (somnambulism). This is partial arousal during slow wave sleep. Fully referenced neurology checklist.

Defining features

  • This is partial arousal during slow wave sleep
  • It may be preceded by sleep terrors in younger age

Clinical features

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Associated pain disorders

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Predisposing genetic susceptibility

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Predisposing medications

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Other predisposing factors

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Differential diagnosis: nocturnal frontal lobe epilepsy

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Non-drug treatments

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Drug treatments

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References

  1. Fleetham JA, Fleming JA. Parasomnias. CMAJ 2014; 186:E273-E280.
  2. Derry CP, Harvey AS, Walker MC, Duncan JS, Berkovic SF. NREM arousal parasomnias and their distinction from nocturnal frontal lobe epilepsy: a video EEG analysis. Sleep 2009; 32:1637-1644.
  3. Petit D, Pennestri MH, Paquet J, et al. Childhood sleepwalking and sleep terrors: a longitudinal study of prevalence and familial aggregation. JAMA Pediatr 2015; 169:653-658.
  4. Cartwright R. Sleepwalking violence: a sleep disorder, a legal dilemma, and a psychological challenge. Am J Psychiatry 2004; 161:1149-1158.
  5. Lopez R, Jaussent I, Dauvilliers Y. Pain in sleepwalking: a clinical enigma. Sleep 2015; 38:1693-1698.
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