BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 十月 2016

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 事件期间认知障碍（错乱觉醒、夜惊、梦游）
  • 多动或暴力行为（错乱觉醒、梦游、夜惊和快速眼动睡眠行为障碍）
  • 发作时运动无能（孤立性复发性睡眠瘫痪）
全部具体信息

其他诊断因素

  • 不正常的行为及面部表情（错乱觉醒、梦游、夜惊）
  • 外伤的证据
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危险因素

  • 非快速眼动异态睡眠的家族史（错乱觉醒，梦游，夜惊）
  • 人类白细胞抗原基因 DQB1*05 和 *04 等位基因的存在（梦游）
  • 精神类药物或者酒精
  • 急性睡眠剥夺或者不规律的睡眠-觉醒计划障碍
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诊断性检查

首要检查

  • 临床检查
  • 多导睡眠监测（快速眼动睡眠行为障碍）
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需要考虑的检查

  • 多导睡眠监测（错乱觉醒）
  • 多导睡眠监测（梦游）
  • 多导睡眠监测（夜惊）
  • 多导睡眠监测（梦魇障碍）
全部具体信息

治疗流程

疾病持续状态

错乱觉醒

梦游

夜惊

梦魇

孤立性复发性睡眠瘫痪

快速眼动睡眠行为障碍

贡献者

作者 查看所有

Co-Director, Pediatric Sleep and Research Center

Cardinal Glennon Childrens Hospital

Associate Professor of Neurology

Saint Louis University School of Medicine

St Louis

MO

利益冲突披露
RM declares that he has no competing interests.

Co-Medical Director, Sleep Medicine and Research Center

St. Luke's Hospital

Adjunct Associate Professor

Department of Pediatrics

Saint Louis University School of Medicine

St Louis

MO

利益冲突披露
SP receives royalties from UpToDate for writing two topics: diagnosis and management of pediatric obstructive sleep apnea.

Dr Raman Malhotra and Dr Shalini Paruthi would like to gratefully acknowledge Dr Alon Y. Avidan, the previous contributor to this monograph. AYA has been paid honorarium speaking fees by the American Academy of Sleep Medicine, the American Academy of Neurology, the American College of Chest Physicians, Sepracor Inc, Cephalon Inc, and Pfizer Pharmaceuticals.

同行评议专家 查看所有

Consultant in Paediatric Neurodisability

Evelina Children's Hospital

St Thomas' Hospital

London

UK

利益冲突披露
PG is lead applicant on the ongoing MENDS trial, which is concerned with the use of melatonin in children with neurodevelopmental disorders and impaired sleep.

Reader in Psycho-Social Intervention

Centre for Evidence Based Intervention

Barnett House

University of Oxford

Oxford

UK

利益冲突披露
PM has received funding greater than 6 figures USD from the Swedish Board of Health and Welfare, Martek Biosciences, Danish Social Research Institute, UK Department of Health, UK Health Technology Assessment Programme. PM declares that he has no competing interests.

Associate Professor of Pediatrics

Chief

Division of Pulmonary and Sleep Medicine

Department of Pediatrics

Medical College of Wisconsin

Medical Director

Pulmonary Clinic

Children's Hospital of Wisconsin

Milwaukee

WI

利益冲突披露
LAD declares that she has no competing interests.

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