Hypnic Jerks Associated with Insomnia
Journal Title: Edelweiss: Psychiatry Open Access - Year 2018, Vol 2, Issue 1
Abstract
A 38-year female fulltime working Optometrist presented to the Insomnia clinic with a history of six years of sleep onset insomnia. A complete history revealed medical conditions of hypertension, hypothyroidism controlled by prescribed medications. The patient had a good appetite and BMI of 28. She exercised by walking three afternoons per week. Her work shift varied in terms of start times: 9-5pm, 11-7pm or 1-9pm of which she had no control over. Corresponding to this, her bedtime varied from 11 to 11:45pm and wakeup times from 7-9am. The patient spends her free time with in house fixit projects which she enjoyed. An all-night PSG ruled out Restless Legs Syndrome and Sleep Apnea. During the intake interview the patient revealed experiencing small body jerks throughout the day particularly near bed time. At the hour of sleep, this turns to full body jerks and sometimes lasts (reported at 50% of the time) into the first few hours of her night of sleep. Two-week sleep log data confirmed a sleep disturbance with varying sleep onset times, reportings of body jerks 67% of the time that intruded upon her sleep onset and sleep after wakeup times.
Authors and Affiliations
Kathy Sexton-Radek
Keywords
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