A case of a homicide and an attempted homicide during presumed sleepwa
lking is reported in which somnambulism was the legal defense and led
to an acquittal. Other possible explanations including complex partial
seizures, dissociative state, rapid eye movement sleep behavior disor
der and volitional waking behavior are discussed. The evidence support
ing the probability that this act occurred during an episode of somnam
bulism and sleep-related confusional arousal is reviewed and weighed.
This evidence includes personal and family history of somnambulism and
related disorders; neurological, psychiatric and psychological assess
ments; presence of possible precipitating factors; and polysomnographi
c data.