Functional Imagery of Sleepwalking

NCT ID: NCT02844231

Last Updated: 2024-05-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2017-12-31

Brief Summary

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Sleepwalking (also called somnambulism) is a disorder in which only SWS is disrupted. This NREM parasomnia is characterized by inappropriate motor behaviors, usually initiated during arousal from SWS, that induce psychological distress and alter quality of life, leading to fatigue, excessive daytime sleepiness, and objectively impaired vigilance in the morning.

The pathophysiology of sleepwalking remains poorly understood. Sleepwalkers had difficulty maintaining stable, consolidated sleep and experienced more arousals and microarousals, specifically from SWS, leading to increased NREM instability, especially during the first sleep cycles. The brain is partially awake, resulting in behavioral manifestations, and partially in NREM sleep, resulting in no conscious awareness of actions.

A Single Photonic Emission Computed Tomography (SPECT) study of one sleepwalking episode found increased activation in the posterior cingulate cortex and cerebellum, with deactivation in the frontoparietal associative cortices. Data from intracerebral EEGs during confusional arousals confirmed both local arousal of the motor and cingulate cortices and increased delta activity in the frontoparietal associative cortices.

The investigators thus proposed a controlled study of SPECT imagery in 24 sleepwalkers (12 SPECT during a SW episode and 12 SPECT during slow wave sleep and 24 during wakefulness) and 12 controls (during slow wave sleep and wakefulness). SW episodes will be elicited by sleep deprivation condition associated with forced arousal (auditory stimulus).

The comparative analyses of SPECT acquisitions between different states (wakefulness, slow wave sleep and SW) and populations (sleepwalkers versus controls) will provide new insights about the complex pathophysiology of SW episodes.

Detailed Description

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Conditions

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Sleepwalking

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Sleepwalker, SW episode

Sleepwalker patients undergo single-photon emission computed tomography during a sleepwalking episode.

Group Type OTHER

Single-photon emission computed tomography

Intervention Type OTHER

Sleepwalkers, slow wave sleep

Sleepwalker patients undergo single-photon emission computed tomography during slow-wave sleep.

Group Type OTHER

Single-photon emission computed tomography

Intervention Type OTHER

Control group

Control subjects undergo single-photon emission computed tomography during slow-wave sleep.

Group Type OTHER

Single-photon emission computed tomography

Intervention Type OTHER

Interventions

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Single-photon emission computed tomography

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subject diagnosed with NREM parasomnia according the international classification of sleep disorders
* More than one episode per week
* More than one hypersynchronous delta wave arousal recorded on polysomnographic assessment
* Affiliated to social security
* Age between 18 years-old and 39 years-old


* Affiliated to social security
* Age between 18 years-old and 39 years-old

Exclusion Criteria

* Patient taking any psychotropic drug during the two weeks before the inclusion
* Patient with obstructive sleep apnea Syndrome, restless legs syndrome, nocturnal epilepsy and unstable psychiatric disease.

CONTROL GROUP


* Subject taking psychotropic drug during the two weeks before the inclusion
* Subject with following medical history : NREM parasomnia, neurologic or psychiatric disorder, obstructive sleep apnea syndrome, restless legs syndrome, nocturnal epilepsy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University Hospital of Montpellier

Montpellier, , France

Site Status

Countries

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France

Other Identifiers

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UF 8585

Identifier Type: -

Identifier Source: org_study_id

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