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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(03): 370-373
DOI: 10.5935/1984-0063.20220065
CASE REPORTS

Sleepwalking, sleep-related eating disorder and sleep-related smoking successfully treated with topiramate: a case report

Sana Elham Kazi
1   Interfaith Medical Center, Department of Psychiatry - Brooklyn - New York - United States
,
Jamal Mujaddid M Mohammed
2   University of California Davis, Department of Internal Medicine - Sacramento - California - United States
3   Northern California Veterans Affairs Health Care System, Sleep Medicine - Sacramento - California - United States
,
Carlos H Schenck
4   Minnesota Regional Sleep Disorders Center, Sleep Medicine - Minneapolis - Minnesota - United States
5   University of Minnesota Medical School, MD - Minneapolis - Minnesota - United States
6   Hennepin County Medical Center, Department of Psychiatry - Minneapolis - Minnesota - United States
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We describe a 45-year-old married woman with sleepwalking, sleep-related eating disorder, and sleep-related smoking behavior, but without restless legs syndrome. The patient had a history of mild obstructive sleep apnea with an AHI of 12.6/hour with an oxygen saturation nadir of 95%, which resolved after bariatric surgery. Treatment with topiramate 100mg at bedtime controlled all three parasomnias for ten months at the latest follow-up, with relapse occurring whenever topiramate was stopped. To our knowledge, this is the first reported successful treatment of sleep-related smoking. Clinicians are encouraged to inquire about other types of parasomnias, and other sleep disorders such as narcolepsy, in patients presenting with a complaint of one parasomnia.

Sleep-Related Eating Disorder - Parasomnias - Somnambulism - Sleep-Related Smoking - Nocturnal Smoking - Topiramate


Publication History

Received: 23 September 2021

Accepted: 07 February 2022

Article published online:
01 December 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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