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We evaluated with clinical interviews and polysomnographic examination 10 adults with the complaint of sleepwalking,often accompanied by violent behavior or self-injury.During the polysomnographic studies,8 patients had 47 distinct somnambulistic episodes.All episodes occurred in non-REM sleep,with 91%occurring in slow-wave sleep.Contrary to previous reports, episodes were not confined to the 1st 3rd of the night.Clinical EEGs were normal in 5 of 6 patients.In the 7 patients tried on 1 or more treatment regimes,clonazepam effectively suppressed the somnambulism in 5 of 6 patients in whom it was tried,carbamazepine in 1 of 3,flurazepam in 2 of 2,and a combination of clonazepam and phenytoin in one. |
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