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Catathrenia or nocturnal groaning is a sleep-related breathing disorder, consisting of end-inspiratory apnea (breath holding) and expiratory groaning during sleep.It describes a rare condition characterized by monotonous, irregular groans while sleeping. [1]
In response to audio stimuli, the mind's way of interpreting sound can be translated through a regulatory process called the reticular activating system.Located in the brain stem, the reticular activating system continually listens, even throughout delta-wave sleep, to determine the importance of sounds in relation to waking the cortex or the rest of the body from sleep.
Other sleep related disorders like sleep apnea are ruled out by examining the patients' respiratory effort, air flow, and oxygen saturation. RMD patients often show no abnormal activity that is directly the result of the disorder in an MRI scan. [7] RMD episodes are strongly associated with stage 2 NREM sleep and, specifically, K Complexes [8].
By contrast, other studies have indicated that the effects of sleep deprivation on cognitive performance, specifically sustained visual attention, are more global and bilateral in nature (as opposed to more lateralized deficit explanations). In a study using the Choice Visual Perception Task, subjects were exposed to stimuli appearing in ...
NREM Stage 1 (N1 – light sleep, somnolence, drowsy sleep – 5–10% of total sleep in adults): This is a stage of sleep that usually occurs between sleep and wakefulness, and sometimes occurs between periods of deeper sleep and periods of REM. The muscles are active, and the eyes roll slowly, opening and closing moderately.
RBD is a sleep disorder characterized by the loss of normal skeletal muscle atonia during REM sleep and is associated with prominent motor activity and vivid dreaming. [6] [2] These dreams often involve screaming, shouting, laughing, crying, arm flailing, kicking, punching, choking, and jumping out of bed.
The onset of symptoms is usually within 2 and 3 hours of sleep onset (at the time of transition from slow-wave sleep to a lighter sleep stage) and those events can last from 10 to 30 minutes. Patients generally wake up without any recollection of the event. It is necessary to distinguish confusional arousals in adults from children. [3]
Sleep-talking can also be caused by depression, sleep deprivation, day-time drowsiness, alcohol, and fever. It often occurs in association with other sleep disorders such as confusional arousals, sleep apnea, and REM sleep behavior disorder. In rare cases, adult-onset sleep-talking is linked with a psychiatric disorder or nocturnal seizure. [2]