Isolated sleep paralysis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Isolated sleep paralysis. This is the absence of voluntary motor activity at sleep onset or ending. Fully referenced neurology checklist.

Clinical features

  • This is the absence of voluntary motor activity at sleep onset or ending
  • It is caused by the intrusion of REM sleep into wakefulness
  • It occurs in full consciousness
  • The subject is unable to speak or move
  • Breathing is preserved
  • It resolves spontaneously or on being touched or spoken to

Associated symptoms

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Triggers

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Associated disorders

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Treatment

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References

  1. Fleetham JA, Fleming JA. Parasomnias. CMAJ 2014; 186:E273-E280. 
  2. Sharpless BA. A clinician's guide to recurrent isolated sleep paralysis. Neuropsychiatr Dis Treat 2016; 12:1761-1767. 
  3. Derry CP, Duncan JS, Berkovic SF. Paroxysmal motor disorders of sleep: the clinical spectrum and differentiation from epilepsy. Epilepsia 2006; 47:1775-1791.
  4. Sawant NS, Parkar SR, Tambe R. Isolated sleep paralysis. Indian J Psychiatry 2005; 47:238-240.

Related checklists

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