TweetWhat's more, NSRED poses several health hazards including choking, trying to maintain blood sugar, eating foods you may be allergic to, or cutting yourself with a knife. "You are also not sleeping well, so work productivity and your relationships with family and friends will suffer," she says.
While no one is sure what causes NSRED, Montgomery says, "We can only hypothesize that an internal stimulus such as restless legs may activate the satiety center of brain (the hypothalamus) and people go eat," she says. But treatment with mild anti-anxiety medications can be effective. In addition, certain medications including the Parkinson's drug Sinemet inhibits involuntary body movements so the internal stimulus to get out of bed is not activated, Montgomery explains.
Sleep-sex or atypical sexual behavior during sleep. This can run the gamut from moaning to rape-like behavior and violent masturbation that leaves bruising or soreness. People will have no memory of what occurred in the morning, according to researchers at Stanford's Sleep Disorders Clinic in Stanford, Calif. The condition can be treated with anti-anxiety drugs and certain treatments used for breathing disturbances.
Nocturnal seizures. Instead of shaking, foaming at mouth, and turning blue, nocturnal seizures are marked by screaming, shouting, and peddling leg movements. Nocturnal seizures can also mimic sleepwalking, says Clete Kushida, MD, PhD, director of the Stanford Center for Human Sleep Research. Treatment with anticonvulsant medication is usually effective, he says.
Sleep-related groaning. "It's very loud groaning, and people come to us who whose groaning has been present lifelong but they are changing living situations where it is all of a sudden it's apparent and that will be bothersome," Mahowald says.
Rock-n-roll. Body-rocking rhythmic movement disorder involves "unusual motion such as head-banging, body-rolling, and body-rocking that usually occurs right after you fall asleep and can continue for minutes or an hour, "says Kushida. "It can be associated with autism and mental retardation."
What to do?
"There are a number of causes of complex behaviors arising from sleep and you can't be sure what parasomnia it is, until you are evaluated," Kushida says. "If you suspect your bed partner is having unusual behaviors in sleep and they cause sleep loss and excessive daytime sleepiness, discuss it with a sleep specialist or primary care physician -- especially if it is very frequent, persistent, and there is a violent component to it, " Kushida says.
"Occasional nocturnal behaviors do not need to be evaluated, but if you are falling out of bed, raising or breaking windows when trying to escape, you need an evaluation by sleep center," Mahowald agrees.
Published March 3, 2003.