Sleep paralysis

Introduction Generally, when you wake up early in the morning or just fall asleep, the patient understands the psychological, but he can't move. There are 40% to 50% of normal people who have had at least one loose sleepiness in their lifetime, and as a long-term complaint, they are much less, only 3% to 6%, many of them have a low frequency of attacks. It only occurs 1 or 2 times in its lifetime. Sleeping ailments usually last from 1 minute to a few minutes, then disappear on their own or disappear under external stimuli (especially another person's stimuli such as touching or moving the patient).

Cause

Our sleep has a certain cycle, and the sleep cycle is followed by sleep, shallow sleep, deep sleep, deep sleep, rapid eye movement (dreaming period), and then into the next cycle. Sleeping is mainly due to the early appearance of a rapid eye movement, resulting in inconsistent coordination during the rapid eye movement phase. Sleeping sputum is divided into sporadic and familial, and familial women are more common than men, but most are sporadic and gender-free.

an examination

Related inspection

Sleep test

(1) The chief complaint is incapable of moving the torso or limb when sleep begins or wakes up;

(2) There is a transient partial or complete skeletal muscle paralysis episode;

(3) The episode may be accompanied by an illusion or a dream-like mental activity when sleeping;

(4) Polysomnography monitoring at least one of the following: 1 skeletal muscle tone inhibition; 2 REM sleep at the beginning of sleep; 3REM sleep abnormalities;

(5) Eliminate sleep disorders caused by physical and mental illnesses.

Differential diagnosis

If there is a family history of snoring, it is diagnosed as familial narcolepsy; if there is no similar family history, it is diagnosed as dyscrasia; if snoring is one of the symptoms of narcolepsy, it should be diagnosed as Narcolepsy.

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