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Related Concept Videos

Nightmares and Night Terrors01:18

Nightmares and Night Terrors

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Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
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Restless Leg Syndrome and Night Terrors01:27

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Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
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REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
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Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
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Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
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Related Experiment Video

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How to Obtain Reliable Visual Event-related Potentials in Newborns
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Sleep terrors-A parental nightmare.

Federica Gigliotti1, Dario Esposito1, Consuelo Basile1

  • 1Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.

Pediatric Pulmonology
|March 1, 2021
PubMed
Summary

Sleep terrors (STs) are disruptive sleep disorders that can affect children and adults. Understanding their causes and triggers is key to diagnosis and management, even though they are often considered benign.

Keywords:
NREM parasomniasdisorders of arousalsleep terrors

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Pediatrics

Background:

  • Sleep terrors (STs) are characterized by abrupt arousal during sleep with autonomic hyperactivity.
  • While common in childhood (ages 4-12), STs can persist into adulthood.
  • The precise etiology remains unknown, with proposed genetic and neurodevelopmental factors.

Purpose of the Study:

  • To review the pathophysiology, diagnosis, comorbidities, and treatment of sleep terrors.
  • To highlight the importance of accurate diagnosis to differentiate STs from other conditions like nocturnal seizures.
  • To discuss the potential impact of STs on children and caregivers.

Main Methods:

  • Literature review of existing studies on sleep terrors.
  • Analysis of proposed pathophysiological models, including predisposing, priming, and precipitating factors.
  • Summary of diagnostic criteria and differential diagnoses for STs.

Main Results:

  • A pathophysiological model involving predisposing, priming, and precipitating factors can help explain and prevent STs.
  • Accurate diagnosis is crucial as conditions like other parasomnias or nocturnal seizures can mimic STs.
  • Comorbid medical and psychological disorders can be associated with STs.

Conclusions:

  • Sleep terrors, though often considered benign, require proper diagnosis and management.
  • Understanding the multifactorial nature of STs aids in developing effective interventions.
  • The impact of STs extends beyond the individual, affecting caregivers as well.