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Simple or single movements during sleep: Distinguishing clinical features

Simple or single movements during sleep: Distinguishing clinical features
  Hypnic jerk Bruxism Benign sleep myoclonus of infancy Propriospinal myoclonus at sleep onset Nocturnal leg cramp Exploding head syndrome
Behavior Quick single jerk with or without tactile, kinetic, visual, or auditory sensation Sudden closure of jaw or grinding of teeth Brief jerks, usually bilateral and symmetric Sudden jerk, typically in the trunk, neck, and limbs Sustained muscle contraction Painless sensation of explosion in the head, may be associated with a startle movement
Age of onset Any Any Infancy Childhood or adulthood Childhood or adulthood Adulthood
Family history No Variable Variable No Variable No
Time of occurrence Sleep onset Sleep onset or upon resumption of sleep Any time during sleep Light NREM sleep Any Usually near sleep onset but can be variable
Frequency Variable Multiple per night Multiple per night Multiple per night Variable Rare
Duration Milliseconds Seconds Milliseconds Milliseconds Up to several minutes Seconds
Memory of event Yes No No Yes Yes Yes
Stereotypical movements Yes No No No No Yes (similar sensation each time)
PSG findings Sudden jerk at sleep onset Temporalis and masseter activation, rhythmic periodic chin muscle artifact Brief myoclonus Brief myoclonus in NREM sleep Prolonged muscle contraction Usually occurs in light sleep
Associated clinical findings None (benign) Clenching sound, tooth wear, scars inside cheeks and tongue None (benign) Can be seen in individuals with spinal cord pathology None None (benign)
PSG: polysomnogram.
Graphic 103631 Version 3.0