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- $Unique_ID{BRK00257}
- $Pretitle{}
- $Title{How Does Sleepwalking Occur?}
- $Subject{sleep walking Ill Defined Symptoms symptom brain childhood child
- Somnambulism partial arousal parasomnias central nervous system activity
- sitting up actions eating opening doors fatigued long periods without sleep
- strenuous physical alcohol sedatives safe sleeping environment imipramine
- benzodiazepines}
- $Volume{N-1}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- How Does Sleepwalking Occur?
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- QUESTION: Until we began experiencing sleep walking episodes with our own
- son, we thought those stories were pretty funny and exaggerated. Now we know
- for ourselves how upsetting it can be. Would you please discuss this problem
- for us and suggest how we may deal with it?
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-
- ANSWER: As frightening as it may seem now, the good news is that this common
- childhood problem usually disappears as the child grows, and has no serious
- consequences. Somnambulism (sleep walking) is grouped with a number of other
- conditions involving partial arousal from sleep called parasomnias and is the
- result of central nervous system activity expressed in actions such as
- walking. They may last as long as 30 minutes, but generally are finished in a
- few minutes. Ranging from simply sitting up in bed, to actions that include
- eating, opening doors, a stop at the bathroom for bodily functions, to actual
- strolls around the house, the child rarely remembers all that happened when
- awakening in the morning. It starts in children at about 4 years of age, and
- reaches its peak in the 11 to 12 year old range, when up to 16% of children
- may have one or more episodes. Frequently it runs in families where deep,
- sound sleep is common. It occurs more frequently when the patient is
- fatigued, after long periods without sleep, or strenuous physical activity, or
- the use of alcohol or sedatives. Frequently it is precipitated by a
- frightening dream. As parents you should try to discover the types of
- experiences or activity that may take place during the day preceding sleep
- walking episodes. Then take steps to avoid these circumstance. The second
- and most important task is to provide a safe sleeping environment for your
- son. Make sure windows and doors are locked, and that sharp objects,
- particularly glass, are removed from the room. Sleeping quarters at ground
- level are advisable if possible. Don't try to awaken a sleep walker, but
- gently lead them back to bed. Some medications, such as imipramine and the
- benzodiazepines, are helpful in suppressing the stages of sleep in which
- somnambulism occur, but can produce a hangover on the next day. All
- medications must be administered with the counsel of a physician, are not
- recommended in younger children or for prolonged use, and only in cases where
- the situation is severe and there is great risk for injury. If research
- statistics are correct, this strange activity will disappear by itself before
- your son is much older.
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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