When his parents brought 5-year-old Yunyun (pseudonym) to the hospital outpatient clinic, they told the doctor that Yunyun would dance when he was sleeping, and he had this phenomenon since he was a child, but he could not have any abnormalities when he was awake.
However, Yunyun is now 5 years old, and the phenomenon of dancing and dancing when she sleeps is gradually increasing, and her throat will make abnormal sounds, and she is usually very lively and seems to have no other abnormalities.
After learning about Yunyun's condition, the doctor recommended to improve the electroencephalogram examination and cranial magnetic resonance imaging to evaluate the situation in the brain, and the cranial magnetic resonance examination was negative, and the electroencephalogram showed a small number of sharp waves in the double anterior cephalic area, combined with the child's symptoms, and the diagnosis was benign epilepsy.
Subsequently, the doctor gave Yunyun levetiracetam tablets for treatment, and when he came to the outpatient clinic again half a month later, the parents reported that Yunyun's dancing while sleeping gradually decreased, and the results of the re-examination of the EEG showed that it was better than before, indicating that the treatment effect was good.
The doctor reminds that benign epilepsy is one of the most common epilepsy syndromes in children, some children will have seizures during sleep, and their symptoms may not be specific, but they are only manifested as dancing during sleep at night.
If you are diagnosed with benign epilepsy, and the symptoms are recurrent, and the brain function is reduced, you should be actively treated with medication, and you must not choose not to treat it for fear of the side effects of the drug, which will affect brain development and cause serious adverse effects.
Have you ever had the experience of falling asleep in a daze when your body suddenly shakes like an electric shock, or suddenly feels like you are stepping into the air and falling from a high altitude?
Sometimes the movement is too big, and it can even startle the people around you.
Netizens have a variety of answers: some say it's because you're growing, some think it's the brain testing whether you're alive, and still others think it's a sign of a serious illness......
01
What the hell is going on when you suddenly shake while sleeping?
This phenomenon is called "sleeping muscle jerks", also known as "sleep startles" and "hypnotic jerks", which is the result of a part of the brain that has fallen asleep and a part of the brain has not completely fallen asleep when falling asleep.
According to the American Sleep Association, about 70% of people experience hypnic tics at least once in their lifetime, and 10% of them experience it once a day.
Hypnotic tics can easily occur at the beginning of sleep, and are a physiological and normal phenomenon, which can occur at any age, but most of them are adults, and patients can manifest themselves as sudden jumps and twitches of the lower limbs at the beginning of sleep, and the tics may cause the patient to be awake.
In addition, there may be single limbs or multiple limbs during sleep, and sometimes even the trunk and head twitching, which may be full body twitching.
At this time, the patient may or may not wake up at all, and if the seizure does not wake the patient, then he has no memory of the incident.
Hypnotic tics are usually accompanied by a series of startles, usually a brief episode, and then several seizures can occur during sleep.
Most patients do not require treatment, and only a small number of patients need treatment for sleep anxiety due to arousal caused by repeated startles.
Sleep twitching is common in fatigue, staying up late, watching too much TV, computer, mobile phone, increased nerve activity and sensitivity, and physiological myoclonus symptoms, body shaking.
If there are frequent hypnotic tics, accompanied by headache and dizziness, it is necessary to be vigilant for calcium deficiency, encephalitis, brain trauma and other diseases.
02
Shake often when you sleep, and be alert to 4 conditions
1. Autonomic dysfunction
If the patient is overly worried, fearful, psychologically stressed, or consumes a lot of coffee before going to bed during the day, it will lead to autonomic nervous system dysfunction and increased muscle and nerve excitability during sleep, which will lead to symptoms such as tremors, tension and tics of the limbs during sleep.
It is recommended that patients maintain a good attitude in life, avoid excessive anxiety, learn to release stress, calm their emotions before going to bed, and consult a psychologist if necessary to regulate psychological stress.
In addition, you can do some gentle yoga movements or simple muscle stretches before going to bed to relax the muscles, which can help relieve the occurrence of sleep startles.
2. Neurasthenia
Due to factors such as long-term mental tension, stimulation by stressful events, excessive mental work, etc., the brain and body functions are weakened, resulting in sleep disorders, dreams, easy to reminisce, and may also be accompanied by muscle tension pain, resulting in trembling or shaking during sleep.
It is recommended that patients can take clonazepam tablets, diazepam tablets, buspirone hydrochloride tablets and other drugs for treatment under the guidance of professional doctors.
3. Hypocalcemia
Hypnotic tics can also be common in low calcium, and the elderly, children, and pregnant women are particularly prone to calcium deficiency, which induces hypnotic tics.
If the amount of calcium in the blood is too low or decreased, it will lead to an increase in muscle nerve excitability and muscle spasms, which can cause symptoms such as numbness and tetany.
To treat hypocalcemia, patients can take calcium gluconate oral solution and other drugs according to the doctor's instructions, and patients can also eat some foods that supplement calcium, such as dairy products, soy products, beans, nuts, etc.
4.癫痫
Due to factors such as head trauma and abnormal development of the cerebral cortex, the neurons in the brain are abnormally discharged, resulting in clonic involuntary movements of the body, and most epilepsy occurs only during sleep, and transient muscle clonus can occur, which is manifested as body shaking during sleep.
Patients can be treated with medications, such as carbamazepine tablets, phenytoin tablets, valproate tablets, etc.
In addition, there are some brain diseases that can also induce hypnotic tics, such as brain tumors, sequelae of cerebral infarction or cerebral hemorrhage, and sequelae of traumatic brain injury, which can be confirmed by head CT or magnetic resonance examination.
03
How can I prevent body shaking while sleeping?
1. Regular sleep: ensure 7~9 hours of sleep every day, listen to some soothing music before going to bed to help the body relax, try to choose the correct sleeping position to stretch the body when sleeping, and avoid sleeping on the stomach, sleeping on the roll or pressing the body and other bad sleeping postures.
2. Limit excessive caffeine intake: Do not drink nervous-stimulating drinks before going to bed, because coffee contains caffeine that causes nervous excitement, and if you drink it for a long time or before bedtime, it will affect the quality of sleep.
3. Soak your feet in hot water before going to bed: Before going to bed, you can soak your feet in warm water, and the water is best soaked in the ankle joint for 15-20 minutes, which can promote the peripheral nerve blood circulation of the lower limbs, which is conducive to relieving the occurrence of sleep tics caused by muscle spasms.
4. Stretch your muscles before bedtime: Stretch your muscles half an hour before bedtime to relax your muscles, which is conducive to reducing the chance of sleep tics.
#入睡抽动 ##七成人会经历入睡抽动##睡眠#
@有来医生, master more health, emotional and psychological science knowledge, have health, enjoy the future!