Sleep terror in a 46-year-old woman with a childhood history of sleep terror who started having episodes of screaming in the middle of the night, to which she was oblivious. After a normal polysomnogram, she was admitted for video-EEG monitoring. EEG of this event (45 minutes after sleep onset) shows a mixture of large-amplitude very slow delta activity in the frontal and temporal leads and faster alphalike activity in the posterior leads. She responded to clomipramine but had adverse events and was subsequently put on 1 mg of clonazepam at bedtime, with which she experienced good control of the events.
Hrayr Attarian, MD, FAASM, FCCP
CONTINUUM: Lifelong Learning in Neurology. 19(1, Sleep Disorders):104-131, February 2013