Hypnic Jerks

Cuellar, Norma G.; Whisenant, Debra Pettit; Stanton, Marietta P.

doi:10.1016/j.jsmc.2015.05.010

Cited by 11 publications

(5 citation statements)

References 14 publications

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“…However, violent, frequent, or repetitive jerks may be mistaken for myoclonic ES or epileptic spasms. 76 Unlike ES, these are restricted to sleep and virtually always in the transition between sleep and wakefulness. On PSG, hypnic jerks are recorded during quiet wakefulness and stage N1, disappearing during N3 and REM sleep.…”

Section: Benign Hypnic Myoclonusmentioning

confidence: 99%

“…This phenomenon is usually easily recognized and rarely requires treatment. However, violent, frequent, or repetitive jerks may be mistaken for myoclonic ES or epileptic spasms 76 . Unlike ES, these are restricted to sleep and virtually always in the transition between sleep and wakefulness.…”

Section: Nesmentioning

confidence: 99%

“…Unlike ES, these are restricted to sleep and virtually always in the transition between sleep and wakefulness. On PSG, hypnic jerks are recorded during quiet wakefulness and stage N1, disappearing during N3 and REM sleep 76 . They are frequently associated with the appearance of vertex sharp waves on EEG, while ES are associated with epileptiform activity.…”

Section: Nesmentioning

confidence: 99%

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Evaluation of the Patient With Paroxysmal Spells Mimicking Epileptic Seizures

Feyissa

Bower

2022

The Neurologist

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Background: The diagnostic issue of paroxysmal spells, including epileptic seizure (ES) mimics, is one that neurologists frequently encounter. This review provides an up-to-date overview of the most common causes of ES mimics encountered in the outpatient setting. Review Summary: Paroxysmal spells are characterized by changes in awareness, attention, perception, or abnormal movements. These can be broadly classified as ES and nonepileptic spells (NES). NES mimics ES but are distinguished by their symptomatology and lack of epileptiform activity on electroencephalography. NES may have psychological or physiological underpinnings. Psychogenic non-ES are the most common mimics of ES. Physiological causes of NES include syncope, cerebrovascular, movement, and sleep-related disorders. Conclusions: Distinguishing NES from ES at times may be challenging even to the most experienced clinicians. However, detailed history with an emphasis on the clinical clues, including taking a moment-by-moment history of the event from the patient and observers and physical examination, helps create an appropriate differential diagnosis to guide further diagnostic testing. An accurate diagnosis of NES prevents iatrogenic harm, including unnecessary exposure to antiseizure medications and overuse of health care resources. It also allows for the correct specialist referral and appropriate treatment.

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Section: Benign Hypnic Myoclonusmentioning

confidence: 99%

Section: Nesmentioning

confidence: 99%

Section: Nesmentioning

confidence: 99%

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Evaluation of the Patient With Paroxysmal Spells Mimicking Epileptic Seizures

Feyissa

Bower

2022

The Neurologist

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“…They are associated with autonomic activation, resulting in tachycardia, tachypnea, and sudomotor activity described as a shock or falling feeling [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…They are associated with autonomic activation, resulting in tachycardia, tachypnea, and sudomotor activity described as a shock or falling feeling [3]. Hypnic jerks may be exacerbated during stressful conditions occurring during a normal part of sleep onset [4].…”

Section: Introductionmentioning

confidence: 99%

Hypnic Jerks, Major Depressive Disorder, and Antidepressant Use: A Possible Relationship

Alghamdi

2023

Cureus

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The term hypnic jerks (also known as sleep starts or hypnagogic jerks) refers to a physiological phenomenon that accompanies sleep-wake transitions and can occur in healthy individuals of any age. Various physiological and stressful stimuli can precipitate hypnic jerks and contribute to their frequency and amplitude, e.g., stress, fatigue, stimulants like caffeine, and certain medications. Hypnic jerks are usually benign, but they can be intensified in certain situations, interfering with sleep onset and causing insomnia. Here we reported the case of a patient who suffered from intensified hypnic jerks that led to the development of major depressive disorder. Although the depressive symptoms improved on escitalopram 20 mg, the hypnic jerks increased significantly. Clonazepam was found to be very effective in reducing the hypnic jerks and stabilizing his condition.

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Sleep-Related Movement Disorders: Hypnic Jerks

Whitney

Weiss

2018

Curr Sleep Medicine Rep

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Hypnic Jerks

Cited by 11 publications

References 14 publications

Evaluation of the Patient With Paroxysmal Spells Mimicking Epileptic Seizures

Evaluation of the Patient With Paroxysmal Spells Mimicking Epileptic Seizures

Hypnic Jerks, Major Depressive Disorder, and Antidepressant Use: A Possible Relationship

Sleep-Related Movement Disorders: Hypnic Jerks

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