sleepwalking
Introduction
Introduction Dreamwalking unconsciously rises in sleep and completes the symptoms of complex movements, such as the house, climbing trees, etc., all of which are not known by themselves, which is caused by the malfunction of the cerebral cortex. Also called sleepwalking. Sleepwalking, commonly known as "disorder", refers to sudden rise in sleep to carry out activities, and then sleeps, wake up and know nothing about the activities during sleep. In recent years, research in the night tour laboratory has shown that both night terrors and sleepwalking disorders are sleep disorders. Night nocturns do not occur in dreams, but occur in the deep sleep phase 3-4 of sleep. This phase is concentrated in the first half of the night. . Night snoring usually occurs 2-3 hours after falling asleep. Sleepwalking occurs mostly in children (6 to 12 years old) and can occur in any period of children, but it is more common in 5 to 7 years, lasts for several years, and can disappear after entering puberty. In childhood, the proportion of occasional sleepwalking is 15%, and the frequent occurrence rate is 1% to 6%. More men than women. The incidence of sleepwalking in the same family is high, which indicates that sleepwalking has a certain hereditary nature. Night terrors occur mostly within half an hour after falling asleep, no more than 2 hours at the latest. The number of episodes of this disease varies, and it can occur once every few days or tens of days, even several times a night.
Cause
Cause
1. Psychosocial factors: Some children with sleepwalking are related to psychosocial factors. Such as the disorder of daily life, environmental stress, anxiety and fear; family relationship is not harmonious, parent-child relationship is not good, learning tension and poor test scores have a certain relationship with the occurrence of sleepwalking.
2. Sleep too deep: Because sleepwalking often occurs in the first 1/3 of the deep sleep period of sleep, various factors that make the sleep deepen, such as overwork during the day, sleepiness caused by staying up late for several days, taking sleeping pills before going to bed, etc. Can induce the occurrence of sleepwalking.
3. Genetic factors: Family surveys show that patients with sleepwalking have a positive family history in their families, and the same rate of twins is six times higher than that of twins, indicating the disease. It has a certain relationship with genetic factors.
4. Developmental factors: Because the disease occurs mostly in childhood, and gradually stops with age, indicating that sleepwalking may be related to the developmental delay of the cerebral cortex.
Examine
an examination
Related inspection
Brain Doppler Ultrasound (TCD) Brain CT examination
Is a more common sleep disorder, according to the statistical incidence of about 1% to 6% of the general population, more men than women, children more than adults, often have a family history. Sleepwalking usually occurs within the first 2 to 3 hours of sleep, and the duration is usually 5 to 30 minutes. After the attack, the consciousness may turn to awake, and may continue to fall asleep. At the time of onset, the activity of the brain is not completely awakened, and it is in a state of consciousness.
Diagnosis
Differential diagnosis
Children with nocturnal pallidations can have both night terrors and enuresis. These three are in the stage 3-4 deep sleep of sleep, and may have similar pathological mechanisms, but have different clinical manifestations. All three are due to the immature development of the central nervous system. Night snoring may be a kind of exercise that occurs when the brain is partially awakened in a deep sleep state. Clinical manifestations: During the sleepwalking, you can answer some simple questions, but it is ambiguous and rarely talks for a long time. When you sleepwalking, you can avoid general obstacles and even ride your own car, but because people are in a confused state. There are still some dangers, so it is best to collect some dangerous items indoors to avoid accidental injuries. If you live in a building, you should insert the window, because the sleepwalker can sometimes mistake the window as a door.
After a period of time when she started to fall asleep, she suddenly woke up, staring up, irritating, horrifying facial expression, gazing, sometimes shouting, but her consciousness was still paralyzed, and she could show pale, shortness of breath, and out. sweat. At the time of the attack, it is generally difficult to wake up if the child is called. The child often ignores it, still shows panic, crying or yelling, and grabs anyone nervously. It seems to continue to suffer some kind of intense pain, but to the father and mother. The appeasement, hugs, and anxiety are turned a blind eye. The episode usually lasts for more than ten minutes and can fall asleep on its own. After waking up, the content of the night terror episode is completely forgotten or only the segment memory. Some children may have a night tour during the attack, that is, the child gets up and walks, doing some simple mechanical movements, such as opening and bending, etc., and can not recall after waking up. The number of episodes of this disease varies, and it can occur once every few days or tens of days, even several times a night. This disease can be one of the early symptoms of epilepsy, which can be distinguished by EEG examination.
Is a more common sleep disorder, according to the statistical incidence of about 1% to 6% of the general population, more men than women, children more than adults, often have a family history. Sleepwalking usually occurs within the first 2 to 3 hours of sleep, and the duration is usually 5 to 30 minutes. After the attack, the consciousness may turn to awake, and may continue to fall asleep. At the time of onset, the activity of the brain is not completely awakened, and it is in a state of consciousness.
