Secondary parasomnias

Nocturnal epileptic seizures are not uncommon in children and must be distinguished from primary parasomnias because of their different significance and also the investigation and treatment they require. Seizures which are behavioural in nature are the most likely to be misdiagnosed as non-epileptic, for example benign centrotemporal (Rolandic) epilepsy of childhood (59 and mesial frontal seizures,(51> both of which are closely related to sleep.

Other parasomnias, which are part of physical or psychiatric disorders and which may be encountered in patients of any age, include nocturnal asthmatic attacks, those associated with OSA or gastro-oesophageal reflux, panic attacks, nocturnal disturbance that is part of post-traumatic stress disorder, and dissociative states. Simulated parasomnias, shown by polysomnography to be enacted during wakefulness, can sometimes occur in children.(52)

Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

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