A Rare Case of Drunk Driving in Japan: Alcohol-related Sleepwalking

Ayako Himemiya-Hakucho, T. Fujimiya
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Abstract

Alcohol has been identified as a potential precipitating factor for parasomnia, particularly sleepwalking (SW), which categorized in a classic form of non-rapid eye movement sleep arousal disorder. The police consulted us regarding the association between alcohol consumed, blood alcohol concentration, and the behavior of a drunken driving suspect with complete memory loss. We report a rare case of a Japanese drunk driver who possibly experienced alcohol-related SW, based on the statements of the suspect, pharmacokinetic analyses of breath alcohol concentration, testimonies of the witnesses, driving recorder data, and medical records. We concluded that the suspect should be considered non-compos mentis when the drunken driving offense was committed because he might not have been able to control his behavior while in a SW state. However, if he again commits crimes during SW under the influence of alcohol, the crimes should not be excusable because he is now aware of his alcoholrelated complicated characteristics.
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日本酒后驾车的罕见案例:与酒精有关的梦游
酒精被认为是睡眠异常的潜在诱发因素,尤其是梦游(SW),它被归类为非快速眼动睡眠唤醒障碍的一种经典形式。警方向我们咨询了饮酒、血液酒精浓度与酒后驾车、完全失忆嫌疑人的行为之间的关系。根据嫌疑人的陈述、呼气酒精浓度的药代动力学分析、证人的证词、驾驶记录仪数据和医疗记录,我们报告了一例罕见的日本醉酒司机可能经历了与酒精相关的SW的病例。我们的结论是,犯罪嫌疑人在酒后驾车时应该被认为是精神失常,因为他在醉酒状态下可能无法控制自己的行为。但是,如果他在SW期间在酒精的影响下再次犯罪,那么他的罪行就不应该被原谅,因为他现在已经意识到他与酒精有关的复杂特征。
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