Automatism (medicine)

Automatism
SpecialtyNeurology

Automatism refers to a set of brief unconscious behaviors.[1] These typically last for several seconds to minutes or sometimes longer, a time during which the subject is unaware of his/her actions. This type of automatic behaviour often occurs in certain types of epilepsy, such as complex partial seizures in those with temporal lobe epilepsy,[2] or as a side effect of certain medications, such as zolpidem.[3]

Variations

There are varying degrees of automatism. Some may include simple gestures, such as finger rubbing, lip smacking, chewing, or swallowing, or more complex actions, such as sleepwalking behaviors.[4] Others may include speech, which may or may not be coherent or sensible.[5] The subject may or may not remain conscious otherwise throughout the episode. Those who remain conscious may be fully aware of their other actions at the time, but unaware of their automatism.

In some more complex automatisms, the subject enters into the behaviors of sleepwalking while fully awake up until the moment it starts. In these episodes, which can last for longer periods of time, the subject proceeds to engage in activities s/he routinely performs, such as cooking, showering, or driving along a familiar route, or may even carry on conversation. Following the episode, the subject regains consciousness, often feeling disoriented, and has no memory of the incident.[6]

See also

References

  1. "Automatism definition - Medical Dictionary definitions of popular medical terms easily defined on MedTerms". Medterms.com. 2011-04-27. Retrieved 2013-07-19.
  2. "automatism - definition of automatism in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia". Medical-dictionary.thefreedictionary.com. Retrieved 2013-07-19.
  3. "Hypnotic hazards: adverse effects of Zolpidem and other z-drugs". Australian Prescriber. Archived from the original on 2013-07-23. Retrieved 2013-07-19.
  4. "Automatism - Definition of Automatism". Epilepsy.about.com. Retrieved 2013-07-19.
  5. Complex Partial Seizures at eMedicine
  6. "epilepsy.dk". epilepsy.dk. Archived from the original on June 8, 2012. Retrieved 2013-07-19.
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