nocturnal syndrome
Introduction
Introduction Night nocturnal disease, also known as sleepwalking or sleepwalking, occurs mostly in childhood, and can also be one of the manifestations of epilepsy, often occurring in the S3 and S4 phases of non-eye fast moving sleep. The disease was once called "sleepwalking", and it was confirmed by EEG study that the disease has nothing to do with night dreams.
Cause
Cause
The cause of night snoring:
Strictly speaking, night snoring is a disorder of consciousness. This phenomenon is seen in children aged 5-12 years older than 15%. 1% - 6% of children have long-lasting allies. Men and women, this phenomenon generally self-healing with age.
The onset of nocturnal sinus is generally thought to be related to the development of the central nervous system, the movement of the brain during partial deep awakening, and the genetic factors and mental and psychological factors.
Examine
an examination
Related inspection
Electroencephalogram examination
Check and diagnosis of night sickness:
Strictly speaking, night snoring is a disorder of consciousness. This phenomenon is seen in children aged 5-12 years older than 15%. 1% - 6% of children have long-lasting allies. Men and women, this phenomenon generally self-healing with age.
It is also considered to be a type of epilepsy because there is often a special EEG boom before the attack. Mental stress, fatigue and contradictory emotions are also the cause of production. Therefore, it is found that children have night nocturnal symptoms, should first send epilepsy, and then determine the severity, if necessary, change the sleep time, with neurotrophic and treatment, can also be used to stabilize drugs.
Diagnosis
Differential diagnosis
Symptoms that are easily confused by night snoring :
I. Narcolepsy: Narcolepsy is defined as the prolonged transition time during the day when oversleeping and sleep episodes (not caused by insufficient sleep) or when waking up to a fully arousal state.
The clinical manifestations are:
1. Excessive sleep during the day or sleep episodes, can not be explained by insufficient sleep time, and / or extended transition time to fully awakened state when waking up.
2. Daily sleep disorders, more than one month, or repeated attacks, causing obvious distress or affecting social and occupational functions.
3. Lack of additional symptoms of narcolepsy (such as cataplexy, respiratory paralysis, hallucinations before going to bed) or clinical evidence of sleep apnea.
4. No neurological or medical conditions that show symptoms of daytime sleepiness.
Second, sleep-wake rhythm disorder: non-organic sleep-wake rhythm disorder can be defined as: the human sleep-wake rhythm and the environment-allowed sleep-wake rhythm are not synchronized, resulting in patients complaining of insomnia or lethargy.
The clinical manifestations are:
1. The individual's sleep-wake form is normal with the normal situation in a particular society--the sleep-wake rhythm recognized by most people in the cultural environment.
2. Insomnia in the main sleep phase, lethargy when it should be awake, this situation occurs almost every day for more than 1 month, or repeated in a short time.
3. The state of dissatisfaction with the amount, quality and timing of sleep makes the patient deeply distressed or affects social or occupational functions.
Third, sleepwalking (night nocturnal disease): sleepwalking or night snoring is a state of consciousness change at the same time of sleep and awakening. When asleep occurs, the individual usually gets up in the first third of the night's sleep and walks around, presenting low levels of attention, responsiveness, and motor skills.
Clinical manifestations:
1. Symptoms one or more episodes: getting up, usually occurs in the first third of the night's sleep, walking around.
2. During an episode, the individual's performance is dazed, his eyes are stagnation, and others trying to interfere or talk to them are relatively unresponsive and difficult to wake up.
3. After waking up (either during the episode or in the early morning of the next day), the individual cannot recall the episode.
4. Despite a period of sensation and disorientation within a few minutes of waking up from the episode, there is no damage to mental activity and behavior.
5. There is no evidence of organic mental disorders such as dementia or physical disorders such as epilepsy.
Fourth, sleep horror (night terrors): stunned (night terrors) is the episode of extreme fear and panic that occurs at night, accompanied by strong language, exercise patterns and high levels of excitement in the autonomic nervous system.
The clinical manifestations are:
1. One or more episodes of panic symptoms: screaming wakes up from sleep, characterized by extreme emotional anxiety, tachycardia, shortness of breath, dilated pupils, and sweating.
2. The typical symptoms of these recurrent episodes last for 1 to 10 minutes, usually occurring in the first third of the night's sleep.
3. Relatively unresponsive to other people's attempts to quell sleep.
4. Even if you can recall the episode, it is very limited.
5. There is no evidence of physical disorders such as brain tumors or epilepsy.
The difference between night snoring and snoring is probably clear from the above introduction. Another difference is that night sickness occurs mostly in children, and often as the child ages, the phenomenon of night travel is gradually reduced or disappeared. It is not a serious mental disorder and need not be too worried. The most common occurrence of safari is in adults. The behavior of the attack is more intelligent, and it seems to be more purposeful. Most of these people also have rickets and other characteristics. They often have relatively large psychological stimuli before they appear. Modern medical research believes that snoring is actually a long-lasting automatic disease that can last for several hours or even a few days and may be one of the symptoms of psychomotor epilepsy (complex partial seizures).
Whether it is a night tour phenomenon or a seizure attack, there should be someone to take care of during the attack to avoid accidents, and to go to the hospital for examination in time, especially the EEG examination, if necessary, go to the psychiatric clinic to get a clear diagnosis. And differential diagnosis, as well as the necessary treatment.
Most occur within 1-3 hours after falling asleep. At the time of the attack, the child (or adult) blinks, sits up, and gets out of bed. Usually he won't touch or fall, sometimes he can do more complicated things, such as sweeping the floor, pouring water, etc. After a few minutes to half an hour, he will go back to bed and wake up or wake up and find himself crying in the dark. stand up. Patients generally cannot recall what happened when they fell asleep. When the attack occurs, it often appears to suddenly sit up and open your eyes during sleep, with a look of horror or horror, or get up and down, doing various actions, such as walking around on the ground, or wearing socks, or squatting. Be smashed and sheets, or look for something to eat, or slam the cabinet out of the box, or go out and find a safe and reliable place to sleep. In the indoors, after a few minutes or 10 minutes, I go back to bed and continue to sleep. There are also a few people who can scream when they are attacking, or cry, run, jump and go out. In general, the attack has the following characteristics: First, the first half of the night, the duration is no more than half an hour; Second, the action is obviously clumsy and slow, lack of purpose; Third, the behavior of each episode Almost, it is repetitive; the fourth is that the patient has no memory of his behavior after waking up the next day.
