Case Report
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Year 2022, , 484 - 488, 31.12.2022
https://doi.org/10.7197/cmj.1194080

Abstract

References

  • 1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association, 2013.
  • 2. Henkel ED, Jaquez SD, Diaz LZ. Pediatric trichotillomania: Review of management. Pediatr Dermatol. 2019;36(6):803-807. doi:10.1111/pde.13954
  • 3. Comertoglu Arslan S, Uzun Cicek A, Ucuz I, Dogru H. Sociodemographic variables, clinical characteristics, and treatments in children with trichotillomania in terms of age and gender: a multicenter study. Nord J Psychiatry. 2022;1-10. doi:10.1080/08039488.2022.2052179.
  • 4. Torales J, Ruiz Díaz N, Ventriglio A, Castaldelli-Maia JM, Barrios I, García O, Navarro R, González-Urbieta I, O'Higgins M, Jafferany M. Hair-pulling disorder (Trichotillomania): Etiopathogenesis, diagnosis and treatment in a nutshell. Dermatol Ther. 2021;34(1):e13466. doi:10.1111/dth.14366
  • 5. Jafferany M, Mkhoyan R, Stamu-O'Brien C, Carniciu S. Nonpharmacological treatment approach in trichotillomania (hair-pulling disorder). Dermatol Ther. 2020;33(4):e13622. doi:10.1111/dth.13622
  • 6. Tay YK, Levy ML, Metry DW. Trichotillomania in childhood: case series and review. Pediatrics. 2004;113(5):e494-e498. doi:10.1542/peds.113.5.e494
  • 7. Murphy C, Redenius R, O'Neill E, Zallek S. Sleep-isolated trichotillomania: a survey of dermatologists. J Clin Sleep Med. 2007;3(7):719-721.
  • 8. Görker I, Karasalihoğlu S, Öztürk, L. Pulling of hair while sleeping: A pediatric case. Medical Journal of Trakya University. 2010;27(2):215-217. doi: 10.5174/tutfd.2009.00841.2
  • 9. Murphy C, Valerio T, Zallek SN. Trichotillomania: an NREM sleep parasomnia?. Neurology. 2006;66(8):1276. doi:10.1212/01.wnl.0000208516.19583.ad
  • 10. Angulo-Franco M, Bush-Martínez A, Nenclares-Portocarrero A, Jiménez-Genchi A. Trichotillomania and non-epileptic seizures as sleep-related dissociative phenomena. J Clin Sleep Med. 2015;11(3):271-273. doi:10.5664/jcsm.4542
  • 11. Goyal D, Surya S, Elder J, Mccall WV, Graham K. Sleep-isolated Trichotillomania (SITTM): A Case Report. Innov Clin Neurosci. 2016;13(1-2):40-42.
  • 12. Managoli S, Vilhekar KY. Tricotillomania as an ictal manifestation of partial seizure in a 4-year-old girl. Indian J Pediatr. 2003;70(10):843. doi:10.1007/BF02723814
  • 13. Hansen A, Brask BH, Nielsen J, Rasmussen K, Sillesen I. A case report of an autistic girl with an extra bisatellited marker chromosome. J Autism Child Schizophr. 1977;7(3):263-267. doi:10.1007/BF01539002
  • 14. Singh S, Kaur H, Singh S, Khawaja I. Parasomnias: A Comprehensive Review. Cureus. 2018;10(12):e3807. Published 2018 Dec 31. doi:10.7759/cureus.3807
  • 15. Wyllie E, Rothner AD, Lüders H. Partial seizures in children: clinical features, medical treatment, and surgical considerations. Pediatr Clin North Am. 1989;36(2):343-364. doi:10.1016/s0031-3955(16)36653-6
  • 16. Fine A, Wirrell EC. Seizures in Children. Pediatr Rev. 2020;41(7):321-347. doi:10.1542/pir.2019-0134
  • 17. Signer SF, Benson DF. Three cases of anorexia nervosa associated with temporal lobe epilepsy. Am J Psychiatry. 1990;147(2):235-238. doi:10.1176/ajp.147.2.235
  • 18. Rémillard GM, Andermann F, Gloor P, Olivier A, Martin JB. Water-drinking as ictal behavior in complex partial seizures. Neurology. 1981;31(2):117-124. doi:10.1212/wnl.31.2.117
  • 19. Ellison JM. Alterations of sexual behavior in temporal lobe epilepsy. Psychosomatics. 1982;23(5):499-509. doi:10.1016/S0033-3182(82)73382-1
  • 20. Lawley A, Khan HA, Hegde V. Multiple whistling seizures in temporal lobe epilepsy: A case report and review of the literature. Clin Neurol Neurosurg. 2016;151:61-64. doi:10.1016/j.clineuro.2016.10.011
  • 21. Schenk L, Bear D. Multiple personality and related dissociative phenomena in patients with temporal lobe epilepsy. Am J Psychiatry. 1981;138(10):1311-1316. doi:10.1176/ajp.138.10.1311
  • 22. Hecker A, Andermann F, Rodin EA. Spitting automatism in temporal lobe seizures with a brief review of ethological and phylogenetic aspects of spitting. Epilepsia. 1972;13(6):767-772. doi:10.1111/j.1528-1157.1972.tb05161.x

Sleep-Isolated Trichotillomania As An Ictal Symptom Of Complex Partial Seizure In A 12-Year-Old Girl: A Case Report

Year 2022, , 484 - 488, 31.12.2022
https://doi.org/10.7197/cmj.1194080

Abstract

Sleep-isolated trichotillomania (TTM) is the unconscious and automatic pulling of one's hair only while sleeping. In previous case reports, sleep-isolated TTM has been categorized as a sleep-related disorder or a sleep-related dissociative disorder in case reports, and a treatment strategy in this direction has been implemented. However, to our knowledge, no reports have been published describing hair pulling during sleep as a symptom of epilepsy and its pharmacological treatment. In this case report, we present the hair-pulling behavior during sleep as an ictal manifestation of complex partial seizure in a 12-year-old girl and its successful treatment with levetiracetam. We suggest that epilepsy should be suspected in addition to parasomnias and sleep-related dissociative disorder in the differential diagnosis, especially in cases presenting with isolated TTM behavior during sleep.

References

  • 1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association, 2013.
  • 2. Henkel ED, Jaquez SD, Diaz LZ. Pediatric trichotillomania: Review of management. Pediatr Dermatol. 2019;36(6):803-807. doi:10.1111/pde.13954
  • 3. Comertoglu Arslan S, Uzun Cicek A, Ucuz I, Dogru H. Sociodemographic variables, clinical characteristics, and treatments in children with trichotillomania in terms of age and gender: a multicenter study. Nord J Psychiatry. 2022;1-10. doi:10.1080/08039488.2022.2052179.
  • 4. Torales J, Ruiz Díaz N, Ventriglio A, Castaldelli-Maia JM, Barrios I, García O, Navarro R, González-Urbieta I, O'Higgins M, Jafferany M. Hair-pulling disorder (Trichotillomania): Etiopathogenesis, diagnosis and treatment in a nutshell. Dermatol Ther. 2021;34(1):e13466. doi:10.1111/dth.14366
  • 5. Jafferany M, Mkhoyan R, Stamu-O'Brien C, Carniciu S. Nonpharmacological treatment approach in trichotillomania (hair-pulling disorder). Dermatol Ther. 2020;33(4):e13622. doi:10.1111/dth.13622
  • 6. Tay YK, Levy ML, Metry DW. Trichotillomania in childhood: case series and review. Pediatrics. 2004;113(5):e494-e498. doi:10.1542/peds.113.5.e494
  • 7. Murphy C, Redenius R, O'Neill E, Zallek S. Sleep-isolated trichotillomania: a survey of dermatologists. J Clin Sleep Med. 2007;3(7):719-721.
  • 8. Görker I, Karasalihoğlu S, Öztürk, L. Pulling of hair while sleeping: A pediatric case. Medical Journal of Trakya University. 2010;27(2):215-217. doi: 10.5174/tutfd.2009.00841.2
  • 9. Murphy C, Valerio T, Zallek SN. Trichotillomania: an NREM sleep parasomnia?. Neurology. 2006;66(8):1276. doi:10.1212/01.wnl.0000208516.19583.ad
  • 10. Angulo-Franco M, Bush-Martínez A, Nenclares-Portocarrero A, Jiménez-Genchi A. Trichotillomania and non-epileptic seizures as sleep-related dissociative phenomena. J Clin Sleep Med. 2015;11(3):271-273. doi:10.5664/jcsm.4542
  • 11. Goyal D, Surya S, Elder J, Mccall WV, Graham K. Sleep-isolated Trichotillomania (SITTM): A Case Report. Innov Clin Neurosci. 2016;13(1-2):40-42.
  • 12. Managoli S, Vilhekar KY. Tricotillomania as an ictal manifestation of partial seizure in a 4-year-old girl. Indian J Pediatr. 2003;70(10):843. doi:10.1007/BF02723814
  • 13. Hansen A, Brask BH, Nielsen J, Rasmussen K, Sillesen I. A case report of an autistic girl with an extra bisatellited marker chromosome. J Autism Child Schizophr. 1977;7(3):263-267. doi:10.1007/BF01539002
  • 14. Singh S, Kaur H, Singh S, Khawaja I. Parasomnias: A Comprehensive Review. Cureus. 2018;10(12):e3807. Published 2018 Dec 31. doi:10.7759/cureus.3807
  • 15. Wyllie E, Rothner AD, Lüders H. Partial seizures in children: clinical features, medical treatment, and surgical considerations. Pediatr Clin North Am. 1989;36(2):343-364. doi:10.1016/s0031-3955(16)36653-6
  • 16. Fine A, Wirrell EC. Seizures in Children. Pediatr Rev. 2020;41(7):321-347. doi:10.1542/pir.2019-0134
  • 17. Signer SF, Benson DF. Three cases of anorexia nervosa associated with temporal lobe epilepsy. Am J Psychiatry. 1990;147(2):235-238. doi:10.1176/ajp.147.2.235
  • 18. Rémillard GM, Andermann F, Gloor P, Olivier A, Martin JB. Water-drinking as ictal behavior in complex partial seizures. Neurology. 1981;31(2):117-124. doi:10.1212/wnl.31.2.117
  • 19. Ellison JM. Alterations of sexual behavior in temporal lobe epilepsy. Psychosomatics. 1982;23(5):499-509. doi:10.1016/S0033-3182(82)73382-1
  • 20. Lawley A, Khan HA, Hegde V. Multiple whistling seizures in temporal lobe epilepsy: A case report and review of the literature. Clin Neurol Neurosurg. 2016;151:61-64. doi:10.1016/j.clineuro.2016.10.011
  • 21. Schenk L, Bear D. Multiple personality and related dissociative phenomena in patients with temporal lobe epilepsy. Am J Psychiatry. 1981;138(10):1311-1316. doi:10.1176/ajp.138.10.1311
  • 22. Hecker A, Andermann F, Rodin EA. Spitting automatism in temporal lobe seizures with a brief review of ethological and phylogenetic aspects of spitting. Epilepsia. 1972;13(6):767-772. doi:10.1111/j.1528-1157.1972.tb05161.x
There are 22 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Beyza Bozok 0000-0003-4205-5360

Öykü Özdemir 0000-0001-5253-1039

Ayla Uzun Cicek 0000-0003-2274-3457

Halil Ural Aksoy 0000-0003-3131-1808

İlknur Ucuz 0000-0003-1986-4688

Elif Abanoz 0000-0002-9214-4735

Publication Date December 31, 2022
Acceptance Date December 25, 2022
Published in Issue Year 2022

Cite

AMA Bozok B, Özdemir Ö, Uzun Cicek A, Aksoy HU, Ucuz İ, Abanoz E. Sleep-Isolated Trichotillomania As An Ictal Symptom Of Complex Partial Seizure In A 12-Year-Old Girl: A Case Report. CMJ. December 2022;44(4):484-488. doi:10.7197/cmj.1194080