| Insomnia treatment by olanzapine. Is sleep state misperception a psychotic disorder? | |
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MedLine Citation:
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PMID: 20672499 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Offering a new perspective on sleep state misperception, we discuss a patient who presented with sleep state misperception and was ultimately diagnosed with delusional disorder. A 60-year-old woman with chief complaints of insomnia, agitation, and suicidal ideation, was admitted to an inpatient psychiatric ward. Based on information from her family and a mental state examination, her primary diagnosis was sleep state misperception. She was treated with Trazodone. Because she was unresponsive to the treatment, a full psychiatric evaluation and wrist actigraphy report were undertaken, resulting in a revised diagnosis of delusional disorder. She was started on Olanzapine and, after 6 weeks was discharged with good improvement. Sleep state misperception might be considered not just as a sleep disorder, but also as a psychiatric disorder with psychotic symptoms. Further research is recommended. |
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Authors:
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Habibolah Khazaie; Leeba Rezaie; Masoud Tahmasian; David C Schwebel |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Neurosciences (Riyadh, Saudi Arabia) Volume: 15 ISSN: 1319-6138 ISO Abbreviation: Neurosciences (Riyadh) Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-08-02 Completed Date: 2010-08-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101252453 Medline TA: Neurosciences (Riyadh) Country: Saudi Arabia |
Other Details:
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Languages: eng Pagination: 110-2 Citation Subset: IM |
Affiliation:
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Sleep Research Center, Department of Psychiatry, Kermanshah University of Medical Sciences, Kermanshah, Iran. ha_khazaie@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Antipsychotic Agents
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therapeutic use* Benzodiazepines / therapeutic use* Female Humans Middle Aged Psychotic Disorders / physiopathology Sleep Initiation and Maintenance Disorders / diagnosis, drug therapy* |
| Chemical | |
Reg. No./Substance:
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0/Antipsychotic Agents; 12794-10-4/Benzodiazepines; 132539-06-1/olanzapine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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