Night Terrors

 

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Definition

Etiology/ Pathogenesis

Unknown

Age of Onset

Between 4 and 12 years

Classic Presentation

Occur suddenly during sleep, the child is suddenly agitated and frightened, although they are unable to explain why. They are often diaphoretic, tachypneic, tachycardic, flushed, and inconsolable. The episodes may last greater than 30 minutes, however the child is often able to return to sleep, and often they do not recall the event in the morning. It is unclear if the child actually awakens during the episodes, and attempting to awaken them may simply increase their distress.

 

Rarer Symptoms

Usual Course

Genetics

Groups at high risk

Diagnostic Testing

Diagnosis is based on the history

Differential

partial complex seizures if stereotyped

Treatment

Only in severe cases

Major purpose is to prevent awakenings from disturbing other family members

Long-acting benzodiazepines

Misc

Websites with additional info

 

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