Cotard parasomnia: le délire de negation that occur during the sleep-wake dissociation?
Autor: | Gnoni V; Sleep and Brain Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, United Kingdom.; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Higgins S; Sleep and Brain Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, United Kingdom.; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Nesbitt AD; Sleep and Brain Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, United Kingdom.; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.; Headache Group, Department of Clinical Neurosciences, King's College Hospital NHS Foundation Trust, London, United Kingdom.; Department of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Wasserman D; Sleep and Brain Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, United Kingdom.; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Duncan I; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Birdseye A; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Pérez-Carbonell L; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Drakatos P; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Koutramanidis M; Department of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Ferini-Strambi L; Sleep Disorders Center, Department of Clinical Neurosciences, Università Vita-Salute San Raffaele, Milan, Italy., Leschziner GD; Sleep and Brain Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, United Kingdom.; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.; Department of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Rosenzweig I; Sleep and Brain Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, United Kingdom.; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom. |
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Jazyk: | angličtina |
Zdroj: | Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2020 Jun 15; Vol. 16 (6), pp. 971-976. |
DOI: | 10.5664/jcsm.8430 |
Abstrakt: | None: Unpleasant dreamlike mentation can occur during non-rapid eye movement parasomnias, leading to associated panic attacks. The mentations are rarely remembered and are likely underreported. However, they may lead to significant personal distress and, if not addressed, may contribute to poorer clinical outcomes. Cotard le délire de negation are very rare nihilistic delusions, historically described with psychotic disorders. Their association with a variety of neurologic disorders, including migraine and cluster-headache, has also been reported. Here we present three cases of Cotard parasomnia during which distinct states of consciousness defined by nihilistic ideation occurred. Patients described believing they are dead or dying, while unable to perceive or experience their bodies in whole, or in part, as their own. A source analysis of the electroencephalographic fingerprint of these mentations suggests right-hemispheric hypoactivity subsequent to confusional arousals. Mechanistically, an aberrant activation of two major intrinsic brain networks of wakefulness, the salience network and the default mode network, is argued. (© 2020 American Academy of Sleep Medicine.) |
Databáze: | MEDLINE |
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