Sleepwalking [somnambulism]
ICD-10 F51.3 is a billable code used to indicate a diagnosis of sleepwalking [somnambulism].
Sleepwalking, or somnambulism, is a disorder characterized by complex behaviors that occur during sleep, typically during the non-REM sleep stages. Individuals may walk, talk, or perform other activities while remaining largely unaware of their actions. This condition is most prevalent in children but can persist into adulthood. The episodes can last from a few seconds to several minutes, and the individual may not recall the event upon waking. Sleepwalking can be triggered by various factors, including sleep deprivation, stress, fever, and certain medications. It is important to differentiate sleepwalking from other sleep disorders, such as night terrors or REM sleep behavior disorder, as the management and implications for safety can differ significantly. The condition can lead to potential injuries if the individual engages in unsafe behaviors while sleepwalking. Treatment may involve lifestyle changes, improving sleep hygiene, and in some cases, medication. Understanding the underlying causes and triggers is essential for effective management and prevention of episodes.
Detailed sleep history, including frequency and duration of episodes, triggers, and any associated injuries.
Patients presenting with recurrent sleepwalking episodes, often reported by family members.
Consideration of polysomnography results to rule out other sleep disorders.
Assessment of psychological factors contributing to sleepwalking, including stress and anxiety levels.
Patients with a history of anxiety or stress presenting with sleepwalking episodes.
Evaluation of any psychiatric medications that may influence sleep patterns.
Used when evaluating patients with sleepwalking for other sleep disorders.
Document the reason for the sleep study and any prior sleep history.
Sleep specialists should ensure comprehensive evaluation of sleep patterns.
Common triggers include sleep deprivation, stress, fever, and certain medications. Identifying these triggers is crucial for effective management.
