Description A sleep disorder th...
Description
A sleep disorder that occurs most often in children. The child suddenly awakens from sleep in a terrified state. During such an episode, the child is not fully conscious, and can't be reasoned with. Only rarely does the child remember the event. Night terrors are most common in children aged 2-6 and affect approximately 1-6% of all children. The disorder generally resolves during the teenage years.
Symptoms
Typically occurs 90 minutes after falling asleep, the child sits up and screams, appears awake but is confused. The child cannot be awakened and may experience a fast heart rate, fast breathing, and sweating. The episodes can last as long as 20 minutes, though they usually are shorter.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. In many cases, no further examination or testing is needed. If the night terror is severe or prolonged, the child may need a psychological evaluation.
Specialists:
Psychiatry, Pediatrics, Pediatric and Adolescent Psychiatry
Workup:
A history and physical exam will be performed. In many cases, no further examination or testing is needed. If the night terror is severe or prolonged, the child may need a psychological evaluation.
Specialists:
Psychiatry, Pediatrics, Pediatric and Adolescent Psychiatry
Treatment
Most cases can be treated with reassurance and by preventing the patient from becoming over tired. Avoiding constipation can also reduce the chance of night terrors. Some cases require psychotherapy or counseling, and rarely medications such as a benzodiazepine (Valium) will be used.