DYSSOMNIA & PARASOMNIA
Which of the following clinical finding is seen in parasomnia?
| A |
Nocturnal enuresis |
|
| B |
Night terror |
|
| C |
Nightmare |
|
| D |
All of the above |
Which of the following clinical finding is seen in parasomnia?
| A |
Nocturnal enuresis |
|
| B |
Night terror |
|
| C |
Nightmare |
|
| D |
All of the above |
Parasomnias include sleep terror, nightmares, sleepwalking, and enuresis) are fairly common in children and less so in adults.
Drug of choice for restless leg syndrome ‑
| A |
Ropinirole |
|
| B |
Chlorpromezine |
|
| C |
Haloperidol |
|
| D |
Bupripione |
Drug of choice for restless leg syndrome ‑
| A |
Ropinirole |
|
| B |
Chlorpromezine |
|
| C |
Haloperidol |
|
| D |
Bupripione |
Ans. is’a’i.e., Ropinirole [Ref. Clinical Pharmacol Glt 3d/e p. 482]
- Drugs of choice for Restless leg syndrome are dopamine agonists like ropinirole or promipole or rotigotine.
- Levodopa can also be used.
All are true about narcolepsy except:
| A |
Day dreaming |
|
| B |
Hypnagogic hallucinations |
|
| C |
Cataplexy |
|
| D |
Sudden sleep |
All are true about narcolepsy except:
| A |
Day dreaming |
|
| B |
Hypnagogic hallucinations |
|
| C |
Cataplexy |
|
| D |
Sudden sleep |
Ans. (A) Day dreaming
[Ref Neeraj Ahuja 7th/ I j8-39; Kaplan & Sailockls Textbook of psychiatry 11th/547-50; Harrison 19th/189, t7th/172- ZB; CMDT 2016/1072]
Narcolepsy:
- Disorder characterized by excessive daytime sleepiness often dkturbetl night time sleep and disturbances in REM sleep.
- Hallmark of this disorder is decreased REM latency, I.e. decreased latent period before the first REM period occurs.
- Normal REM latency is 90- 100 minutes, in narcolepsy, REM sleep occurs within 10 minutes of the onset of sleep.
Classical tetrad of symptoms:
- Sleep attacks (MC)
- Cataplexy
- Hallucinations at sleep onset (Hypnagogic) and upon waking (Hypnopompic)
- Sleep paralysis.
