Syndromes Parasomnias Parasomnias Somnambulism is sitting, walking, or performing other complex behavior during sleep, usually with the eyes open but without evidence of recognition. The condition is most common during late childhood and adolescence. Patients may mumble repetitiously, and some injure themselves on obstacles or stairs. There is no accompanying dream. Usually, the patient does not remember the episode.
Treatment is directed at protecting the person from injury and dealing with any underlying disorder.
Benzodiazepines, particularly diazepam and alprazolam, may help. Other drugs, such as selective serotonin reuptake inhibitors, can be considered for severe cases refractory to benzodiazepines. They occur during NREM stages 3 and 4 sleep. In adults, night terrors are often associated with psychologic difficulties or alcoholism. They occur during REM sleep, more commonly with fever or excess fatigue or after alcohol ingestion.