Peds

Confusional Arousal

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Confusional Arousal, Sleep Drunkenness

  • Epidemiology
  1. Prevalence
    1. Age 3 to 13 years old: 17.3%
    2. Age over 15 years old: 2.9 to 4.2%
  2. No gender predominance (girls and boys equally affected)
  3. Familial inheritance component
  • Symptoms
  1. Inappropriate behavior
  2. Slowed responses
  3. Slurred speech
  4. Confusion after awakening
  5. No memory of event
  6. Timing
    1. Onset during first half of sleep
  • Management
  1. Reassure family
    1. Episodes resolve without intervention
  2. Treat as with other Parasomnias
    1. See Sleep Walking
    2. Counsel on home safety