Sleep

May 2009

Research

Kids that go bump in the night

Volume 38, No.5, May 2009 Pages 290-294

Margot Davey

Background

Incomplete arousal from deep sleep in children causes night time disruption and can present as confusional arousals, sleep walking or night terrors. These nocturnal events are common in childhood but can be extremely concerning to parents and disruptive to families.

Objective/s

This article provides a framework for the initial assessment of children’s nocturnal events.

Discussion

Occasionally night time disturbances are seizures. A framework discussing the clinical features of typical benign childhood events and how to differentiate them from seizure disorders is presented. Generally, sleep walking and night terrors are self limiting and children grow out of them. However, in some cases there are ongoing precipitants that are important to identify and treat.

The night is broken by a spine chilling scream and a child starts running frantically around the house looking terrified as if someone is chasing them. In another house, a child quietly gets up when other family members are sleeping, and starts to dress in their school clothes and rearrange their school bag before wandering off to settle down to sleep on the living room couch. Down the street a mother holds her toddler who is screaming and yelling, and she worries he is in pain because she cannot soothe him. These are examples of the sometimes weird and disturbing night time events that parents describe to their doctor, terrified that there is something wrong with their child.

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Correspondence afp@racgp.org.au

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