Table 1 Comparison of main features of partial arousals, nightmares and nocturnal seizures
Arousal disorderNightmaresNocturnal seizures*
Age of onset (years)3–83–6Any age
GenderBothBothBoth
Family historyCommonSometimesVariable
PrevalenceCommonCommonMuch less common
Usual stage of sleepDeep NREMREMVariable
Time of the nightUsually first third of the nightMiddle to last third of the nightVariable
Episodes at nightUsually oneUsually oneOne to many
Episodes/monthUsually sporadicUsually sporadicSporadic to many
BehaviourVariable but usually dramatic with intense autonomic arousal (apart from calm sleepwalking); often inaccessible and cannot be comforted; may resist interventionLittle movement during dreams but distressed on awakening, accessible and welcomes comforting; autonomic arousal usually markedVariable, may be undirected violence or distress during or after attack in state of impaired consciousness; autonomic arousal can be considerable
Level of consciousnessUnaware during episode, confused if awakened or after episodeAsleep during episode, fully awake afterwardsVariable, may be impaired during or after attack
Memory for eventsNone or fragmentaryVivid recallVariable
StereotypedSomewhatSomewhatOften
Likelihood of injuryModerate to high in agitated sleepwalking and sleep terrorsLowOverall low to moderate
PrognosisGoodGoodGood to poor
  • *In view of the wide range of types of epileptic seizures associated with sleep, the descriptions given are no more than generalizations with certain clear exceptions to the general rule (see text).

  • NREM, non-rapid eye movement; REM, rapid eye movement.