Isolated sleep paralysis

Evidence-based neurology checklist on isolated sleep paralysis: Clinical features This is the absence of voluntary motor activity at sleep onset or ending It is caused by the intrusion of REM sleep into wakefulness It occurs in full consciousness The subject is unable to speak or move Breathing is…

Clinical features

  • This is the absence of voluntary motor activity at sleep onset or ending
  • It is caused by the intrusion of REM sleep into wakefulness
  • It occurs in full consciousness
  • The subject is unable to speak or move
  • Breathing is preserved
  • It resolves spontaneously or on being touched or spoken to

Associated symptoms

Triggers

Associated disorders

Treatment

References

  1. Fleetham JA, Fleming JA. Parasomnias. CMAJ 2014; 186:E273-E280. 
  2. Sharpless BA. A clinician's guide to recurrent isolated sleep paralysis. Neuropsychiatr Dis Treat 2016; 12:1761-1767. 
  3. Derry CP, Duncan JS, Berkovic SF. Paroxysmal motor disorders of sleep: the clinical spectrum and differentiation from epilepsy. Epilepsia 2006; 47:1775-1791.
  4. Sawant NS, Parkar SR, Tambe R. Isolated sleep paralysis. Indian J Psychiatry 2005; 47:238-240.

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