Monday, June 15, 2015

Sleep Apnea Linked to Sleepwalking, Hallucinations and other "Parasomnias"

Results of Loyola Study Reported at Sleep 2009 Meeting

MAYWOOD, Il. -- Nearly 1 in 10 patients with obstructive sleep apnea also experience "parasomnia" symptoms such as sleepwalking, hallucinations and acting out their dreams, a Loyola University Chicago Stritch School of Medicine study has found.

Researchers examined records of 537 adult sleep apnea patients who were evaluated at the Loyola Center for Sleep Disorders in Maywood and Oak Brook Terrace. Fifty-one patients, or 9.5 percent of the total, reported one or more types of parasomnia symptoms.

Parasomnia complaints included sleep paralysis (21 patients), sleep-related hallucinations (16 patients), acting out dreams (11 patients), sleepwalking (5 patients) and eating while asleep (one patient).

Results were reported at Sleep 2009, the annual meeting of the Associated Professional Sleep Societies, held this year in Seattle.

Obstructive sleep apnea is caused by a partial or complete blockage of the airway. Each time this happens, the brain becomes aroused, in order to resume breathing. This is disruptive to sleep, and the patient can feel chronically tired during the day.

Earlier studies found that obstructive sleep apnea is associated with a higher risk of high blood pressure, heart attacks, stroke, obesity, diabetes, heart failure and irregular heartbeats. The new study suggests that apnea also is linked to increased parasomnia symptoms.

Parasomnia disorders include sleep paralysis (brief episodes of being unable to move), hallucinations during the state between waking and sleeping, acting-out dreams (punching, kicking, crying out, etc.) and walking, eating or even driving while asleep.

Because it interrupts sleep, apnea can set a person up for parasomnia, said Dr. Nidhi S. Undevia, principal investigator of the study. "If you have a predisposition to parasomnia, apnea could make it worse," Undevia said. Undevia is medical director of the Loyola Center for Sleep Disorders and an assistant professor in the Department of Critical Care Medicine at Loyola University Chicago Stritch School of Medicine.

Undevia said doctors should ask apnea patients if they have parasomnia symptoms. "We need to start asking, because we might be missing potentially dangerous or harmful behaviors," she said.

Other co-authors are Loyola sleep specialist Dr. Sunita Kumar, an assistant professor in the Department of Critical Care Medicine at Stritch School of Medicine and lead author Dr. Mari Viola-Saltzman, a sleep medicine fellow at the University of Washington. During the course of the study, Viola-Saltzman was a neurology resident at Loyola University Hospital.

Viola-Saltzman said that, in addition to screening patients for snoring, apneic spells, disrupted sleep and daytime somnolence, physicians "may also consider asking about parasomnia symptoms as another tool to indicate whether the patient may be suffering from obstructive sleep apnea."

About Loyola University Health System

Loyola University Health System (LUHS) is part of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. Loyola University Medical Center’s campus is conveniently located in Maywood, 13 miles west of Chicago’s Loop and 8 miles east of Oak Brook, Ill. At the heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is a national Catholic health system with an enduring legacy and a steadfast mission to be a transforming and healing presence within the communities we serve. Trinity is committed to being a people-centered health care system that enables better health, better care and lower costs. Trinity Health has 88 hospitals and hundreds of continuing care facilities, home care agencies and outpatient centers in 21 states and 119,000 employees.