A 68-year-old retired plumber is brought by his wife, who says that for eight months, mostly in the hours befo…

Question

A 68-year-old retired plumber is brought by his wife, who says that for eight months, mostly in the hours before dawn, he shouts, kicks and swings his arms while asleep. He recalls dreaming that he is fighting off intruders. Last week he struck her across the face; she now sleeps in the spare room, and there is a bedside table with a glass lamp on his side of the bed. He takes no medication, drinks little alcohol, has no tremor or rigidity, and his cognition and examination are normal. Which one…

Accepted Answer

Advise bedroom safety measures

Answer

Arrange polysomnography

Answer

Commence clonazepam at night

Answer

Commence melatonin at night

Answer

Refer to a neurologist

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