Additionally, there can be forensic implications due to false accusations of sexual assault emerging from vivid sexual HH. Although the association between narcolepsy and sexual behaviors has already been described, few reports describe the embarrassing circumstances experienced by narcolepsy patients after vivid experiences during complex sexual HH 6. Although orgasmolepsy may be observed in other sleep disorders, such as sleep apnea, sex-precipitating cataplexy has been described most commonly in patients with narcolepsy 8.Īnother narcolepsy symptom related to sexual behavior is hypnagogic hallucinations (HH). Orgasmolepsy is defined as a cataplexy concomitant to orgasm. Recently, cataplexy has also been associated with sexual activity 8. Narcolepsy patients may also present sleep paralysis and hypnagogic hallucinations 6,7. Narcolepsy is characterized by the excessive daytime sleepiness (EDS), cataplexy, and sleep fragmentation due to impairment of the hypocretin system. Orgasmolepsy or orgasmic cataplexy and sexual hallucinations have been described in narcolepsy patients 5. In elderly patients, sexual actions may be a manifestation of REM sleep behavior disorder (RBD). Sexual behaviors may also occur in rapid eye movement (REM) sleep however, this occurrence has not yet been documented with polysomnography. Another 29% of sexual complaints during sleep are the result of seizures 1. Sexsomnia is the most common sexual sleep disturbance, and it is responsible for up to 50% of all sexual complaints during sleep.

Sexual behavior can occur in different stages of sleep, but it is most prevalent during non-rapid eye movement (NREM) sleep. There are several differential diagnoses, which sleep specialists should be aware of 4. After the correct diagnosis, treatment can minimize these symptoms. These interpersonal sexual behaviors during sleep have been associated with individual, familial, and legal repercussions 2,3.

Sexual vocalizations or conversation, masturbation, sexual fondling, sexual intercourse with or without orgasm, and assaultive sexual behaviors can be seen during sleep 1. Narcolepsia alucinações cataplexia comportamento sexual sexualidade humanos masculino relato de casos. Este relato descreve um interessante caso de um paciente narcoléptico com alucinações hipnagógicas associadas com experiências fora do corpo. Embora a associação entre a narcolepsia e o comportamento sexual já tenha sido descrita, poucos relatos descrevem as circunstâncias embaraçosas para pacientes narcolépticos após vívidas experiências durante alucinações hipnagógicas sexuais complexas. Em pacientes narcolépticos, cataplexia orgásmica e alucinações hipnagógicas sexuais podem estar presentes. O comportamento sexual pode ser associado a diversos estágios do sono, incluindo tanto o estágio do sono de movimentos rápidos dos olhos quanto os estágios sem movimentos rápidos dos olhos. Narcolepsy hallucinations cataplexy sexual behavior sexuality humans male, adult case reports. This report describes an interesting case of a narcoleptic patient with sexual hypnagogic hallucinations associated with out-of-body experiences. Although the association between narcolepsy and sexual behaviors has already been described, few reports describe the embarrassing circumstances for narcoleptic patients after vivid experiences during complex sexual hypnagogic hallucinations. In narcoleptic patients, orgasmic cataplexy, or orgasmolepsy, and sexual hypnagogic hallucinations can be present. Sexual behavior can be associated with several stages of sleep, including both non-rapid eye movement and rapid eye movement stages of sleep.

Cataplexy seizures