From parasomnia to agrypnia excitata-An illustrative case on diagnostic approach

Document Type

Article

Publication Date

4-1-2023

Abstract

The diagnostic approach to sleep-related movements disorders is seldom discussed. We report a case of fatal familial insomnia who initially presented with persistent limb movements in sleep, which later progressed to a state of agrypnia excitata. Here, the evaluation of abnormal movements in sleep is discussed using a step-by-step diagnostic approach. Although no cure is available for fatal familial insomnia, prompt recognition of this condition is important to facilitate proper management, including the involvement of interdisciplinary neuropalliative care.

Keywords

Agrypnia excitata, Fatal familial insomnia, Sleep-related movement disorders, Prion disease

Divisions

fac_med,neurodept

Publication Title

Parkinsonism & Related Disorders

Volume

109

Publisher

Elsevier

Publisher Location

THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND

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