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Confusional arousal

MedGen UID:
155742
Concept ID:
C0752295
Mental or Behavioral Dysfunction
Synonyms: Arousal, Confusional; Arousals, Confusional; Confusional Arousal; Confusional Arousals
SNOMED CT: Confusional arousal disorder (441830002)
 
HPO: HP:0025237

Definition

A nocturnal episode is characterized by disorientation, grogginess, and, at times, significant agitation upon awakening from slow-wave sleep or following forced awakenings. [from HPO]

Term Hierarchy

Professional guidelines

PubMed

Loddo G, Vignatelli L, Zenesini C, Lusa F, Sambati L, Baldelli L, Favoni V, Pisani LR, Pierangeli G, Cevoli S, Provini F
Sleep Breath 2019 Dec;23(4):1309-1314. Epub 2019 Sep 14 doi: 10.1007/s11325-019-01937-w. PMID: 31522407

Recent clinical studies

Etiology

Mundt JM, Schuiling MD, Warlick C, Dietch JR, Wescott AB, Hagenaars M, Furst A, Khorramdel K, Baron KG
Sleep Med 2023 Nov;111:36-53. Epub 2023 Sep 6 doi: 10.1016/j.sleep.2023.09.004. PMID: 37716336Free PMC Article
Kurt Gök D, Ünal İ, Aslan-Kara K
Chronobiol Int 2021 Oct;38(10):1500-1506. Epub 2021 Jun 9 doi: 10.1080/07420528.2021.1932996. PMID: 34107833
Castelnovo A, Turner K, Rossi A, Galbiati A, Gagliardi A, Proserpio P, Nobili L, Terzaghi M, Manni R, Ferini Strambi L, Manconi M, Miano S, Zambrelli E, Paola Canevini M
J Sleep Res 2021 Feb;30(1):e13188. Epub 2020 Sep 10 doi: 10.1111/jsr.13188. PMID: 32909647
Rodriguez CL, Foldvary-Schaefer N
Handb Clin Neurol 2019;161:397-410. doi: 10.1016/B978-0-444-64142-7.00063-1. PMID: 31307616
Bjorvatn B, Magerøy N, Moen BE, Pallesen S, Waage S
Chronobiol Int 2015;32(10):1352-8. Epub 2015 Nov 5 doi: 10.3109/07420528.2015.1091354. PMID: 26540469

Diagnosis

Cordani R, Lopez R, Barateau L, Chenini S, Nobili L, Dauvilliers Y
Sleep Med Clin 2024 Mar;19(1):43-54. Epub 2023 Nov 2 doi: 10.1016/j.jsmc.2023.10.001. PMID: 38368068
Irfan M, Schenck CH, Howell MJ
Neurotherapeutics 2021 Jan;18(1):124-139. Epub 2021 Feb 1 doi: 10.1007/s13311-021-01011-y. PMID: 33527254Free PMC Article
Castelnovo A, Turner K, Rossi A, Galbiati A, Gagliardi A, Proserpio P, Nobili L, Terzaghi M, Manni R, Ferini Strambi L, Manconi M, Miano S, Zambrelli E, Paola Canevini M
J Sleep Res 2021 Feb;30(1):e13188. Epub 2020 Sep 10 doi: 10.1111/jsr.13188. PMID: 32909647
Rodriguez CL, Foldvary-Schaefer N
Handb Clin Neurol 2019;161:397-410. doi: 10.1016/B978-0-444-64142-7.00063-1. PMID: 31307616
Provini F, Tinuper P, Bisulli F, Lugaresi E
Sleep Med 2011 Dec;12 Suppl 2:S22-6. doi: 10.1016/j.sleep.2011.10.007. PMID: 22136894

Therapy

Kumar V, Grbach VX, Castriotta RJ
J Clin Sleep Med 2020 Jul 15;16(7):1213-1214. doi: 10.5664/jcsm.8478. PMID: 32672534Free PMC Article
Ebrahim IO
Curr Opin Pulm Med 2013 Nov;19(6):609-15. doi: 10.1097/MCP.0b013e3283659e5f. PMID: 24048082
Bjorvatn B, Grønli J, Pallesen S
Sleep Med 2010 Dec;11(10):1031-4. Epub 2010 Nov 18 doi: 10.1016/j.sleep.2010.07.011. PMID: 21093361
Pressman MR, Mahowald MW, Schenck CH, Bornemann MC
J Sleep Res 2007 Jun;16(2):198-212. doi: 10.1111/j.1365-2869.2007.00586.x. PMID: 17542950
Broughton R, Billings R, Cartwright R, Doucette D, Edmeads J, Edwardh M, Ervin F, Orchard B, Hill R, Turrell G
Sleep 1994 Apr;17(3):253-64. PMID: 7939126

Prognosis

Guttier MC, Halal CS, Matijasevich A, Del-Ponte B, Tovo-Rodrigues L, Barros F, Bassani DG, Santos IS
J Sleep Res 2024 Feb;33(1):e13870. Epub 2023 Mar 20 doi: 10.1111/jsr.13870. PMID: 36940922
Loddo G, Vignatelli L, Zenesini C, Lusa F, Sambati L, Baldelli L, Favoni V, Pisani LR, Pierangeli G, Cevoli S, Provini F
Sleep Breath 2019 Dec;23(4):1309-1314. Epub 2019 Sep 14 doi: 10.1007/s11325-019-01937-w. PMID: 31522407
Oluwole OS
J Neurol 2010 Jul;257(7):1141-7. Epub 2010 Feb 9 doi: 10.1007/s00415-010-5479-6. PMID: 20143107
Mahendran R, Subramaniam M, Cai Y, Chan YH
Soc Psychiatry Psychiatr Epidemiol 2006 Aug;41(8):669-73. Epub 2006 May 26 doi: 10.1007/s00127-006-0076-9. PMID: 16732399

Clinical prediction guides

Pérez-Carbonell L, Sarto J, Gaig C, Muñoz-Lopetegi A, Ruiz-García R, Naranjo L, Augé JM, Perissinotti A, Santamaria J, Iranzo A, Sánchez-Valle R
Sleep Med 2023 Aug;108:11-15. Epub 2023 May 22 doi: 10.1016/j.sleep.2023.05.010. PMID: 37302168
Castelnovo A, Turner K, Rossi A, Galbiati A, Gagliardi A, Proserpio P, Nobili L, Terzaghi M, Manni R, Ferini Strambi L, Manconi M, Miano S, Zambrelli E, Paola Canevini M
J Sleep Res 2021 Feb;30(1):e13188. Epub 2020 Sep 10 doi: 10.1111/jsr.13188. PMID: 32909647
Loddo G, Vignatelli L, Zenesini C, Lusa F, Sambati L, Baldelli L, Favoni V, Pisani LR, Pierangeli G, Cevoli S, Provini F
Sleep Breath 2019 Dec;23(4):1309-1314. Epub 2019 Sep 14 doi: 10.1007/s11325-019-01937-w. PMID: 31522407
Peter-Derex L, Catenoix H, Bastuji H, Chouchou F
Neurophysiol Clin 2018 Oct;48(5):277-286. Epub 2018 Sep 15 doi: 10.1016/j.neucli.2018.08.002. PMID: 30227947
Terzaghi M, Sartori I, Rustioni V, Manni R
Eur J Intern Med 2014 Apr;25(4):350-5. Epub 2014 Mar 11 doi: 10.1016/j.ejim.2014.02.008. PMID: 24636782

Recent systematic reviews

Mundt JM, Schuiling MD, Warlick C, Dietch JR, Wescott AB, Hagenaars M, Furst A, Khorramdel K, Baron KG
Sleep Med 2023 Nov;111:36-53. Epub 2023 Sep 6 doi: 10.1016/j.sleep.2023.09.004. PMID: 37716336Free PMC Article
Longe O, Omodan A, Leschziner G, Rosenzweig I
Croat Med J 2022 Dec 31;63(6):525-535. doi: 10.3325/cmj.2022.63.525. PMID: 36597564Free PMC Article

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