Sleep groaning (catathrenia)

Evidence-based neurology checklist on sleep groaning (catathrenia): Clinical features This is expiratory moaning and groaning in sleep The onset is usually in adolescence: but it may present as young as 4 years It usually occurs in the second part of the night It often occurs in clusters over…

Clinical features

  • This is expiratory moaning and groaning in sleep
  • The onset is usually in adolescence: but it may present as young as 4 years
  • It usually occurs in the second part of the night
  • It often occurs in clusters over about one hour
  • It is due to protracted or fragmented expiration
  • It follows deep inspiration
  • It is associated with a reduced respiratory rate
  • The episodes last 2-20 seconds
  • It may occur in REM and non-REM sleep
  • Most episodes coincide with EEG arousals
  • There are no additional motor or breathing disturbances

Associated features

Treatment

References

  1. Derry CP, Duncan JS, Berkovic SF. Paroxysmal motor disorders of sleep: the clinical spectrum and differentiation from epilepsy. Epilepsia 2006; 47:1775-1791.
  2. Vetrugno R, Provini F, Plazzi G, Vignatelli L, Lugaresi E, Montagna P. Catathrenia (nocturnal groaning): a new type of parasomnia. Neurology 2001; 56:681-683.
  3. Vetrugno R, Lugaresi E, Plazzi G, Provini F, D'Angelo R, Montagna P. Catathrenia (nocturnal groaning): an abnormal respiratory pattern during sleep. Eur J Neurol 2007; 14:1236-1243.
  4. Vetrugno R, Lugaresi E, Ferini-Strambi L, Montagna P. Catathrenia (nocturnal groaning): what is it? Sleep 2008; 31:308-309. 
  5. Bar C, Pedespan JM, Ghorayeb I. Catathrenia in a four-year-old boy: a first case report. Sleep Med 2016; 20:131-133. 
  6. And 3 more. Subscribe to see the full list

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