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Night Terrors

Pavor Nocturnus

Pavor nocturnus (night terror, sleep terror) is a parasomnia disorder characterized by panicky awakening, fear and signs of autonomic arousal (tachypnea, flushing, diaphoresis, tachycardia).


Presentation

  • A brief review of descriptive, etiological and treatment aspects of night terrors is presented and the hypothesis is put forth that such episodes represent a psychological reaction to trauma.[ncbi.nlm.nih.gov]
  • The Nazis were present in the first shots of the trailer, but they won’t be present until (presumably) the episode “Let’s Kill Hitler,” which airs in the fall.[tvovermind.com]
  • The Nazis were present in the first shots of the trailer, but they won't be present until (presumably) the episode "Let's Kill Hitler," which airs in the fall.[web.archive.org]
Enuresis
  • Psychopathologic disorders are usually present in secondary enuresis, as well as in sleepwalking, night terrors, and nightmares that occur in adulthood.[ncbi.nlm.nih.gov]
  • They are technically classified as one of the parasomnias, disorders of arousal including sleep walking, sleep talking, and perhaps enuresis. Differentiating a night terror from a nightmare depends upon a couple of factors.[drhull.com]
  • Bruxism (grinding of teeth), nocturnal enuresis (considered by some to be a parasomnia) and night terrors were the most common types. [ 3 ] Risk factors One study found that arousal parasomnias were associated with sleep apnoea, alcohol intake at bedtime[patient.info]
Fishing
  • We've seen it disguising fish aliens as in The Vampires of Venice, hiding the Tardis in The Lodger, protecting the Doctor, Martha and Jack in The Sound of Drums and explaining away the invisible lift in old-school Torchwood. • Tea and jammie dodgers –[theguardian.com]
  • A little one’s pre-bedtime plea for just one more storybook or game of Go Fish may be difficult to resist,... Sleep problems are common among kids who are anxious or who are making a transition to a new school. They...[sleepfoundation.org]
Shivering
  • But if in 15 years’ time the kids of today are fondly remembering the story with a shiver then it will deserve plaudits for a job well done. A good, solid Who episode then.[web.archive.org]
Painter
  • Concept Artist - Richard Shaun Williams Dolls - Robert Allsopp Graphic Artist - Christina Tom Standby Props - Phil Shellard, Katherine Archer Standby Carpenter - Will Pope Standby Art Director - Ciaran Thompson Standby Rigger - Bryan Griffiths Standby Painter[wikia.com]
Eruptions
  • They then erupt but in a limited motoric or affective form with restricted awareness and subsequent amnesia for the event. It has also been suggested that such processes are more likely when the patient has a history of major psychological trauma.[ncbi.nlm.nih.gov]
  • As violence begins to erupt around the ship, Picard assigns Data, who does not sleep or dream and is therefore unaffected, as acting Captain.[en.wikipedia.org]
  • So we dug into the technique - which was really like an intense self-guided meditation, a series of memories that let specific feelings erupt from deep down - and released the anxieties. I felt really good afterwards.[world-of-lucid-dreaming.com]
  • Just after there is no longer sufficient power to maintain the hydrogen stream leaving the Bussard collectors, an explosion erupts in front of the ship, indicating that Troi was successful.[memory-alpha.org]
Fear
  • Through Alex's photo album, the Doctor learns that George has been frightened all his life, fearing many of the sounds and people around the flat and is helped to cope by various habits, including metaphorically placing his fears in his wardrobe.[en.wikipedia.org]
  • Back in the apartment, Alex becomes frustrated by the way that the Doctor treats George's fears as a real thing.[web.archive.org]
  • Pavor nocturnus (night terror, sleep terror) is a parasomnia disorder characterized by panicky awakening, fear and signs of autonomic arousal (tachypnea, flushing, diaphoresis, tachycardia).[symptoma.com]
  • Alex explains George's fears to the Doctor. The Doctor speaks to Alex about George's fears, though Alex insists that George is "scared to death of everything."[wikia.com]
  • Given that it's about childhood fears, how scary do you think 'Night Terrors' could be for children? "I think it could be very, very scary! The great thing about the writing is that it taps into childhood fears.[digitalspy.com]
Hysteria
  • RESULTS: Both groups scored exceptionally highly on the hysteria scale of the Crown-Crisp experiential index and the night terrors group also scored highly on the anxiety scale.[ncbi.nlm.nih.gov]
Sleep Disturbance
  • Night terrors and other sleep disturbances, such as somnambulism, are disorders of arousal (Broughton, 1968; Fisher, Kahn, Edwards, & Davis, 1973; Guilleminault, 1987). A 10-year-old white male was treated for a 6-year-long bout of night terrors.[ncbi.nlm.nih.gov]
  • Any sudden change in the pattern of a child's sleep may be triggered by something stressful happening in her life, but these sleep disturbances can also happen when there are no new stresses.[cyh.com]
  • […] pavor [ pa vor ] ( L. ) pavor diur nus attacks of anxiety in children during a daytime nap. pavor noctur nus a sleep disturbance usually occurring in children and characterized by extreme anxiety occurring shortly after sleep onset, with panicky awakening[medical-dictionary.thefreedictionary.com]
  • A raised body temperature can lead to sleep disturbances so ensure that the room isn’t too hot and that bedding is appropriate.[netmums.com]
Insomnia
  • Insomnia, the commonest sleep disorder, is more prevalent among women and elderly and psychosocially disadvantaged persons.[ncbi.nlm.nih.gov]
  • Night Terrors in Young Children – Baby, Infant, Toddlers Causes of Child Insomnia – Children, Infant, Toddler, Teen[healthhype.com]
  • Insomnia is usually treated with medications, cognitive behavioral therapy (CBT), or a change in bedtime habits and routine.[healthline.com]
Somnambulism
  • Night-terrors and somnambulism are comparatively rare in adults and are most often associated with stage 4 sleep, especially delta activity.[ncbi.nlm.nih.gov]
Irritability
  • However, as they work at determining how to create this explosion, the crew starts becoming irritable and experiences hallucinations. Dr.[en.wikipedia.org]
  • Crusher explains to Picard that the Brattain’s logs show a crew succumbing to some kind of Space Madness, and it’s not long before everyone on the Enterprise is hearing stuff that isn’t there, becoming overly paranoid and getting as irritated with their[denofgeek.com]
  • Picard and Riker confess to each other that they’ve both been snappish and irritable, and had odd senses of paranoia. Picard orders Riker to take a nap, try to get some rest in the hopes of one or both of them managing to maintain control.[tor.com]
  • Unfortunately, now the Enterprise crew begins to experience her own problems, marked by an inexplicable increase in irritability and fatigue.[memory-alpha.org]
Nocturnal Enuresis
  • Although the data are limited, reports suggest that imipramine, which may control nocturnal enuresis, a stage 4 sleep disorder, and diazepam, which suppresses stage 4 sleep, may effectively treat the condition.[ncbi.nlm.nih.gov]
  • Bruxism (grinding of teeth), nocturnal enuresis (considered by some to be a parasomnia) and night terrors were the most common types. [ 3 ] Risk factors One study found that arousal parasomnias were associated with sleep apnoea, alcohol intake at bedtime[patient.info]

Workup

  • There have been no identified irregularities in laboratory evaluation, and no additional workup is required in a classic sleep terror presentation.[emedicine.medscape.com]

Treatment

  • A multidimensional approach is indicated for the treatment of chronic insomnia; hypnotic drugs should be used only as an adjunct to this treatment.[ncbi.nlm.nih.gov]
  • Treatment & Management of Night Terrors (Sleep Terror) There is no clearly established therapeutic protocol for the treatment of night children. Treatment should be targeted at possible causes and contributing factors.[healthhype.com]

Prognosis

  • Prognosis Most children with sleepwalking disorder grow out of it. Adult sleepwalkers tend to have more protracted waxing and waning phases of the phenomenon.[patient.info]
  • Prognosis In children, night terror episodes in children usually end by the age of 12. Prevention If a child seems to have a regular pattern of night terror episodes, he should be gently awakened about 15 minutes before the episode usually happens.[medical-dictionary.thefreedictionary.com]
  • What Is the Prognosis for Night Terrors? Night terror episodes are short-lived and usually occur over several weeks. Nearly all children outgrow night terrors by adolescence.[emedicinehealth.com]
  • Prognosis In most children, sleep terror disorder resolves before or during adolescence without any treatment. Adults often respond well to diazepam or another hypnotic.[encyclopedia.com]

Etiology

  • Additional investigation revealed a sporadic insulinoma as the etiology of his hypoglycemia and all symptoms were resolved after pancreaticoduodenectomy.[ncbi.nlm.nih.gov]

Epidemiology

  • Epidemiology Prevalence of RLS could be as high as 10-20% in the older age group and it is increasingly common with age.[patient.info]
  • Genetic aspects and genetic epidemiology of parasomnias. Sleep Medicine Reviews. 2003. 7(5):413-421. Lecendreux M, Mayer G, Bassetti C, et al. HLA association in sleepwalking. Mol Psychiatry. 2003. 8:114-7. Bisulli F, Vignatelli L, Naldi I, et al.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • The proposed recognition of both night terrors and cardiac anomalies in these patients offers a pathophysiologic mechanism for their sudden death.[ncbi.nlm.nih.gov]
  • […] for the episode The episodes cause significant distress or impairment in social, occupational or other areas of functioning The symptoms cannot be explained by another mental disorder, medical condition, or the effects of a drug of abuse or medication Pathophysiology[emedicine.medscape.com]

Prevention

  • Possible explanationss for this effect of imipramine are discussed, including the drug's arousal-preventing action. The author believes that the study of sleep EEGs of patients suffering posttraumatic syndrome will prove fruitful.[ncbi.nlm.nih.gov]
  • Lully is a new device to prevent the night terrors that plague so many young children, and it comprises nothing but a vibrating pod and companion smartphone app.[gizmag.com]
  • Essentially, treatment is aimed towards preventing further episodes by removing stressful triggers, preventing any harm coming to your child during episodes and soothing your distressed child back to sleep after a night terror.[nativeremedies.com]
  • What causes night terrors, and can they be prevented? There's no definitive way to prevent night terrors because no one knows exactly what causes them.[babycenter.com]

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Last updated: 2019-07-11 22:08