Sleep Medicine and Psychophysiology (수면정신생리)

KOREAN ACADEMY OF SLEEP MEDICINE (대한수면의학회)
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Case of a 19-Year-Old Male with Nocturnal Groaning (Catathrenia)

야간 신음소리를 주소로 내원한 19세 남자 환자 1례

  • Kang, Hyun Tag (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Lee, Yun Ji (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Kim, Hyo Jun (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Choi, Ji Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • 강현택 (순천향대학교 의과대학 부천병원 이비인후-두경부외과) ;
  • 이윤지 (순천향대학교 의과대학 부천병원 이비인후-두경부외과) ;
  • 김효준 (순천향대학교 의과대학 부천병원 이비인후-두경부외과) ;
  • 최지호 (순천향대학교 의과대학 부천병원 이비인후-두경부외과)
  • Received : 2018.11.29
  • Accepted : 2018.12.21
  • Published : 2018.12.31
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Abstract

Catathrenia is a rare sleep disease characterized by monotonous groaning sounds that appear to be related with prolonged expiration, commonly experienced during rapid eye movement (REM) sleep. Catathrenia is also known as nocturnal groaning or sleep-related groaning and is currently categorized as a sleep-related breathing disorder. We present a rare case of a 19-year-old male with nocturnal groaning during non-REM sleep. We suggest that if catathrenia is suspected, polysomnography should be utilized to differentiate it from various sleep disorders such as snoring, central sleep apnea, sleep talking, parasomnia, and sleep-related movement disorders.

Catathrenia가 환자에게 어떠한 신체적 문제를 유발하며 장기간 지속되는 경우에는 어떠한 합병증을 유발하는지, 자연 경과는 어떻게 되는지 등 예후 관련해서도 아직까지 구체적으로 확인된 바는 없다. 이와 같은 많은 의학적 궁금증들이 해소되기 위해서는 매우 드문 질환이긴 하지만 향후 지속적인 문헌 수집을 통한 질환 분석과 함께 전향적 연구가 필요할 것으로 사료된다.

Keywords

DSMOBC_2018_v25n2_92_f0001.png 이미지

Figure 1. 60-second epoch shows groaning sounds related with prolonged expiration during non-rapid eye movement (NREM) sleep. Nocturnal moaning sounds (microphone) lasting 4-16 seconds and recurred in clusters during prolonged exhalation.

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