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SLEEPWALKING CAN HURT THE SLEEPER AND THOSE NEARBY
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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OKAY BACK FROM THE EMERGENCY ROOM 🚑
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A SECOND FLOOR FALL IN BARCELONA 🪟
A Case Report Involves An Accidental Fall From A Window
The Patient Was A 24 Year Old Man Living In Barcelona
He Sustained Multiple Traumatic Injuries In The Fall
Neighbors Witnessed The Event And Alerted Emergency Services
The Report Describes Initial Concerns About A Possible Suicide Attempt
No Memory Of The Event Was Reported By The Patient
Suicidal Intent Was Denied By The Patient
Any Personal Or Family Psychiatric History Was Also Denied
Sleepwalking Episodes Were Reported In His Childhood And Teenage Years
Daily Cannabis Use Since Adolescence Is Also Listed
Alcohol Was Consumed In The Hours Before The Incident
The Patient Denied Using Any Other Substances At The Time
Brain CT And EEG Testing Revealed No Significant Abnormalities
This Case Presents A Diagnostic Dilemma
The Authors Say His Sleepwalking History Suggests A Parasomnia Cause
They Stress Separating Parasomnia From Intentional Self Harm
A 2007 Review Notes Reports Of Jumping From Windows
Those Reports Involve Sleep Terror Or Agitated Sleepwalking Episodes
That Review Calls Clumsy Motor Behavior Quite Common In Sleepwalkers
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WHO WAS HURT IN THE VIOLENT CASES 👥
Injuries In The Window Case Were To The Patient Himself
The 2007 Review Covered 32 Published Cases From The Literature
It Was Limited To Violence Directed Against Other Individuals
Cases Had To Involve Murder Or Assault Or Attempted Murder
In A Confusional Arousal The Sleeper Does Not Leave The Bed
Violence Was Linked To Provocation Or Close Proximity In Two Groups
That Link Appeared In 100 Percent Of Confusional Arousal Patients
It Was Present In 81 Percent Of Sleep Terror Patients
In Sleepwalking Cases The Link Ranged From 40 To 90 Percent
The Range Depended On The Legal Verdict And Other Factors
Often The Provocation Was Quite Minor
The Response Was Greatly Exaggerated
Sleepwalkers Most Often Did Not Seek Out Victims
Rather The Victims Sought Out Or Encountered The Sleepwalker
6 Confusional Arousal Victims Touched Or Tried To Wake The Sleeper
In 4 More Cases A Noise Woke The Sleeper With The Victim Nearby
Families Are Frequently Advised Not To Touch Or Grab Sleepwalkers
An Overwhelming Majority Of Episodes Involve No Violence
The Review Saw No Evidence These Sleepers Are Inherently Violent
Its Cases Appear To Support That A Sleepwalker Seeks No Victim
No One Can Determine If These Cases Represent All Such Cases
The Review Calls Its Conclusions Preliminary Findings Only
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INJURIES REPORTED BY ADULT SLEEPWALKERS 🩹
A 2013 Study Looked At Adult Sleepwalkers At A Clinic In France
Sleepwalking Was Diagnosed In 140 Adults There From 2007 To 2011
Forty Were Excluded For Reasons Such As Epilepsy Or Restless Legs
The Final Sample Was 100 Adults With Primary Sleepwalking
They Were Aged 18 To 58 With A Median Age Of 30
Violent Behavior During Sleep Was Assessed In 95 Of Them
Here Violent Meant Physically Aggressive Or Potentially Dangerous
It Covered Danger To The Patients And To Their Cosleepers
A History Of Violent Or Dangerous Behavior Was Found In 57.9 Percent
10 Patients Reported An Injury To Themselves That Needed Medical Care
Eight Of Those 10 Patients Were Male
One Patient Was Hospitalized For Months After A Stairway Fall
That Fall Caused Fractures In The Back And Lower Limbs
Other Reported Injuries Included Bruises And Fractures
Causes Listed Include Striking Bedside Tables And Jumping Down Stairs
For Six Patients Violent Behavior Was Directed Toward A Bed Partner
Those Bed Partners Needed Medical Care After Being Attacked
Overall 17 Percent Had A Lifetime Episode With An Injury Needing Care
Patients Whose Sleepwalking Began Early Had More Violence And Injuries
Those With Violent Behavior Had More Frequent Sleep Terrors
Triggering Factors Such As Alcohol Intake Were Also More Frequent
The Authors Call Adult Sleepwalking A Potentially Serious Condition
It Can Bring Injury To The Sleeper Or To A Bed Partner
