SLEEP-WAKE DISORDERS - Sleep Terrors

Question 1

Vignette: 6 yo female with sleep terrors
past year, falling asleep during class and on
weekends. Parents brought child in after
child hit her forehead during the last
episode.
A: Why order polysomnography?
B: Child found to have obstructive sleep
apnea, in addition to sleep apnea treatment,
what else should be done for sleep terrors?

Answer 1

A: Self-injury during episodes
B: Keep monitoring

Question 2

Child wakes up screaming, sweating and
breathing hard, 1-2 hours after falling
asleep, but wakes up in the morning with
no memory of event.

Answer 2

Sleep terrors

Question 3

Child wakes up after falling asleep, crying
and screaming, but returns to sleep with no
memory of episode in the morning. Best
treatment?

Answer 3

Minimize nighttime household noises