Active Ingredients: Hydroxyzine
Recurrent frightening dreams occur in REM sleep, which often result in awakenings and sleep disruption.
Patients usually can recall details of their disturbing dream on awakening. In adults, frequent nightmares have been associated with physical or emotional trauma, stress, and psychopathology.
Nightmares are characterized by detailed recollection of bad dreams unlike sleep terrors in which there is usually amnesia of the event, and should be differentiated from other parasomnias and nocturnal panic attacks.
Underlying psychological disturbances should be identified.
It consists of dream-enactment behavior that causes injury to self or bed partner and sleep disruption. Typically, such episodes consist of acting out unpleasant or violent dreams with behavior such as shouting, punching, kicking, and running, and they are reported because of sleep-related injury, usually occurring in the last one third of the sleep period.
RBD is associated with neurodegenerative disorders, such as Parkinson disease, and can also be acutely triggered by psychotropic medications or withdrawal from alcohol and sedative-hypnotic agents.
Specific treatment is needed to prevent injury. Epilepsy is a brain disorder characterized by a recurring tendency to unprovoked seizures, which are paroxysmal events resulting from abnormal, excessive discharge of cortical neurons.
Sleep facilitates epileptic discharges, especially the synchronized state of NREM sleep. Several epileptic syndromes have a tendency to manifest mainly during sleep, such as juvenile myoclonic epilepsy and nocturnal frontal lobe epilepsy.
PSG with video and full EEG recording is often required for comprehensive evaluation and definitive diagnosis.
Testing Sleep studies are indicated mainly to confirm the nature and severity of sleep-related breathing disorders, help diagnose narcolepsy, and to document parasomnias and seizures.
Monitoring respiratory parameters and ECG allows simultaneous documentation of sleep-related cardiorespiratory disturbances in conditions such as OSA.
The MSLT is considered the gold standard in the objective evaluation of excessive daytime sleepiness. Mean sleep latency MSL less than 5 minutes is considered pathologic and correlates with severe sleepiness.
The primary indication for the MSLT is to evaluate patients for a diagnosis of narcolepsy. Maintenance of Wakefulness Test The maintenance of wakefulness test MWT is a variation of the MSLT and measures the ability of a person to stay awake in the setting of sleep disorders associated with excessive daytime sleepiness, such as narcolepsy and OSA.
During nap trials of 20 minutes, a normal MSL is 18 minutes representing 1 standard deviation below normal. She was a larger woman and chances are the ride took off before the safety bar had been securitized.
Unfortunately, she was unable to hold herself in the car against the g-forces.
The park or manufacturer will be sued. Many of the regional parties which are now critical players in federal coalition governments derived strength from regional nationalist identities grounded in language.