: Non-rapid eye movement (NREM) sleep parasomnias are recurrent abnormal behaviors emerging as incomplete arousals out of NREM sleep. Mounting evidence on NREM sleep parasomnias calls for an update of clinical and therapeutical strategies. In the current review, we summarize the state of the art and provide the necessary background to stimulate a critical revision of diagnostic criteria of disorders of arousal (DoA), the most common NREM sleep parasomnia. In particular, we highlight the poor sensitivity of the diagnostic items related to amnesia and absence of conscious experiences during DoA episodes, encourage the role of video-polysomnography and home-video recordings in the diagnostic and treatment work-up, and suggest three levels of diagnostic certainty based on clinical and objective findings. Furthermore, we highlight current gaps of knowledge that prevent the definition of standard guidelines and future research avenues.

Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults / Mainieri, Greta; Loddo, Giuseppe; Provini, Federica; Nobili, Lino; Manconi, Mauro; Castelnovo, Anna. - In: DIAGNOSTICS. - ISSN 2075-4418. - ELETTRONICO. - 13:7(2023), pp. 1261.1-1261.24. [10.3390/diagnostics13071261]

Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults

Mainieri, Greta
Primo
;
Loddo, Giuseppe
Secondo
;
Provini, Federica;Nobili, Lino;Manconi, Mauro
Penultimo
;
2023

Abstract

: Non-rapid eye movement (NREM) sleep parasomnias are recurrent abnormal behaviors emerging as incomplete arousals out of NREM sleep. Mounting evidence on NREM sleep parasomnias calls for an update of clinical and therapeutical strategies. In the current review, we summarize the state of the art and provide the necessary background to stimulate a critical revision of diagnostic criteria of disorders of arousal (DoA), the most common NREM sleep parasomnia. In particular, we highlight the poor sensitivity of the diagnostic items related to amnesia and absence of conscious experiences during DoA episodes, encourage the role of video-polysomnography and home-video recordings in the diagnostic and treatment work-up, and suggest three levels of diagnostic certainty based on clinical and objective findings. Furthermore, we highlight current gaps of knowledge that prevent the definition of standard guidelines and future research avenues.
2023
Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults / Mainieri, Greta; Loddo, Giuseppe; Provini, Federica; Nobili, Lino; Manconi, Mauro; Castelnovo, Anna. - In: DIAGNOSTICS. - ISSN 2075-4418. - ELETTRONICO. - 13:7(2023), pp. 1261.1-1261.24. [10.3390/diagnostics13071261]
Mainieri, Greta; Loddo, Giuseppe; Provini, Federica; Nobili, Lino; Manconi, Mauro; Castelnovo, Anna
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/955971
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