Automatism (medicine)

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Automatism
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Involuntary actions, lack of awareness
Complications	Potential for injury, legal implications
Onset	Sudden
Duration	Varies
Types	Epileptic, Non-epileptic
Causes	Seizure, Sleep disorder, Psychiatric disorder
Risks	Sleep deprivation, Stress, Alcohol use
Diagnosis	Clinical assessment, Electroencephalogram (EEG)
Differential diagnosis	Epilepsy, Parasomnia, Dissociative disorder
Prevention	Managing underlying conditions, avoiding triggers
Treatment	Medication, Therapy
Medication	N/A
Prognosis	Depends on underlying cause
Frequency	Common in certain conditions
Deaths	N/A

Automatism (medicine) is a term used in medicine to describe involuntary and unconscious muscular movements. These movements can be simple or complex, and are often repetitive. They are typically associated with certain neurological disorders, such as epilepsy and sleep disorders.

Definition

Automatism in medicine refers to the involuntary performance of actions by an individual who is not conscious of what they are doing. These actions can be simple, such as blinking or swallowing, or complex, such as walking or talking. The individual has no control over these actions and is often unaware that they are happening.

Causes

Automatisms are often associated with certain neurological disorders. They are a common symptom of epilepsy, particularly complex partial seizures. During a seizure, the individual may perform repetitive movements, such as lip smacking, chewing, or hand wringing. Automatisms can also occur in individuals with sleep disorders, such as sleepwalking or night terrors. In these cases, the individual may perform complex actions, such as walking or eating, while they are asleep. Other conditions that can cause automatisms include narcolepsy, catatonia, and certain psychiatric disorders.

Diagnosis

The diagnosis of automatisms is often based on the observation of the individual's behavior. In some cases, video monitoring may be used to document the individual's actions during a seizure or sleep episode. Additional tests may be performed to determine the underlying cause of the automatisms. These may include electroencephalogram (EEG) to monitor brain activity, magnetic resonance imaging (MRI) to visualize the brain, and polysomnography to study sleep patterns.

Treatment

The treatment of automatisms depends on the underlying cause. In cases of epilepsy, antiepileptic medications may be used to control seizures. For sleep disorders, behavioral therapy or medications may be recommended. In some cases, treatment may involve addressing the underlying condition that is causing the automatisms. For example, if the automatisms are due to a psychiatric disorder, psychotherapy or psychiatric medications may be used.

See also

• Epilepsy
• Sleep disorders
• Neurological disorders

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