Sleepwalking is a type of sleep disorder known as a parasomnia. This happens when a person partially awakens during the night, walks, or does other complex behaviors while still technically asleep.
Some causes of sleepwalking include:
Risk Factors
These factors increase your chance of walking in your sleep. Tell your doctor if you have any of these risk factors:
Symptoms
If you experience any of these symptoms, do not assume they are due to sleepwalking. These symptoms may be caused by other conditions. If you experience any one of them, see your doctor:
- Walking during deep sleep
- Sitting up in bed and repeating certain movements (eg, rubbing eyes, fumbling with clothes)
- Talking in your sleep
- Difficulty arousing during a sleepwalking episode
- Doing inappropriate behavior during a sleepwalking episode (eg, urinating in closets)
- Screaming during sleepwalking episodes
- Becoming violent when a person tries to wake you
Diagnosis
Your doctor will ask about your symptoms and medical history. She will also do a physical exam. You will be asked about your:
- Family history
- Fatigue
- Medication
- Underlying illness or stress
Your doctor may refer you to a sleep specialist. You may need to have a
sleep study
done.
Treatment
Talk with your doctor about the best treatment plan for you. Treatment options include:
Strategies to Prevent Injury
Your doctor will help you prevent injury during sleepwalking by recommending that you:
- Remove dangerous objects
- Keep doors and windows closed and locked
Hypnosis
Some cases of sleepwalking can be treated with
hypnosis.
Medications
These medications may be helpful in reducing the incidence of sleepwalking:
- Sedative-hypnotics
- Tranquilizers
- Antidepressants
Prevention
To help reduce the chances of sleepwalking, take the following steps:
- Increase the amount of time scheduled for sleep.
- Avoid alcohol and certain medications that may trigger sleepwalking.
- Have a regular bedtime routine.
Guilleminault C, Kirisoglu C, Bao, G, et al. Adult chronic sleepwalking and its treatment based on polysomnography.
Brain. 2005; 128:1062-1069.
Guilleminault C, Palombini L, Pelayo R, Chervin RD. Sleepwalking and sleep terrors in prepubertal children: what triggers them?.
Pediatrics. 2003;111:17-25.
Hafeez ZH, Kalinowski CM. Somnambulism induced by quitapine: two case reports and a review of the literature.
CNS Spectrums.
2007;12:910-912.
Pressman MR. Factors that predispose, prime and precipitate NREM parasomnias in adults: clinical and forensic implications.
Sleep Med Rev. 2007:11:5-30
Sleepwalking. National Sleep Foundation website. Available at:
http://www.sleepfoundation.org/sleeptionary/index.php?id=22&subsection=basics.
Accessed
Accessed
September 26, 2006.
Sleepwalking in children. American Academy of Family Physicians website. Available at:
http://familydoctor.org/160.xml. Accessed September 26, 2006.
Last reviewedSeptember 2011by
Marjorie Bunch, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved.