睡眠相关运动障碍之颈肌阵挛一例  

A case report of sleep-related dyskinesia:neck myoclonus

作　　者：陈国艳 程金湘 杨伟毅 杨婷 宿长军 Chen Guoyan;Cheng Jinxiang;Yang Weiyi;Yang Ting;Su Changjun(Department of Neurology,Tangdu Hospital,Air Force Medical University,Xi′an 710038,China)

机构地区：[1]空军军医大学唐都医院神经内科,西安710038

出　　处：《中华神经科杂志》2020年第6期442-444,共3页Chinese Journal of Neurology

摘　　要：颈肌阵挛是一种与睡眠相关的运动障碍,表现为夜间睡眠中突然的肌阵挛导致头部明显的短暂旋转或屈曲伸展,通常作为单一事件发生在快速眼球运动(REM)睡眠期,该事件持续时间大于0.5~1.0 s。关于颈肌阵挛的病例目前报道较少,我院收治了1例28岁男性,临床表现为反复出现睡眠中摆头动作,视频-多导睡眠图发现事件均发生在REM睡眠期,部分事件伴有微觉醒反应及下肢内收动作,小剂量的氯硝西泮可缓解症状。Neck myoclonus is part of sleep-related dyskinesia characterized by sudden myoclonus during night sleep.Myoclonus causes pronounced brief rotation or flexion of the head.As a single event,neck myoclon ususually occurs during rapid eye movement(REM)sleep,and it lasts longer than 0.5-1.0 s.At present,neck myoclonus is rarely reported.A 28-year-old male whose clinical manifestation was repeated head swing during sleep was admitted to Tangdu Hospital.Video-polysomnography showed that all the events occurred during REM sleep,and some of them were accompanied by micro-arousal reaction and leg movement.Small does of clonazepam could relieve symptoms.

关 键 词：运动障碍 REM睡眠行为障碍 多导睡眠描记术 颈肌阵挛 

分 类 号：R740[医药卫生—神经病学与精神病学]