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Volume 15 No. 03
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Accepted Papers

Case Reports

Sexsomnia in an Adolescent

Jose B. Contreras, MD1; Jarrett Richardson, MD1,2; Suresh Kotagal, MD1,3
1Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota; 2Department of Psychiatry, Mayo Clinic, Rochester, Minnesota; 3Department of Neurology, Mayo Clinic, Rochester, Minnesota

Sexsomnia has been reported and is well described in 115 prior cases in the literature. There have been associations with other sleep disorders serving as triggers for confusional arousals, thereby worsening sexsomnia episodes. We present a case of an adolescent boy with a history of resected and treated pineoblastoma who later developed sexsomnia marked by multiple episodes of masturbatory events per night. He had additional suspicions of obstructive sleep apnea. Polysomnography confirmed severe obstructive sleep apnea and captured multiple episodes of sexsomnia from both REM and NREM sleep. The patient also had daytime symptoms of severe anxiety and hypersomnia that required pharmacological intervention, cognitive behavioral techniques, and hypnosis. The patient showed improvement with hypnosis along with a multimodal approach to the treatment of sexsomnia.


Contreras JB, Richardson J, Kotagal S. Sexsomnia in an adolescent. J Clin Sleep Med. 2019;15(3):505–507.

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