Hypnic jerks or shuddering during sleep have specific neurological origins.
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Source data identifies hypnic jerks as brief muscle contractions occurring while falling asleep, but the provided evidence is insufficient to fully establish specific neurological origins for them.
circumstance under which they occur is while falling asleep (hypnic jerk). Myoclonic jerks occur in healthy people and are experienced occasionally by
Myoclonus is a brief, involuntary, irregular (lacking rhythm) twitching of a muscle, a joint, or a group of muscles, different from clonus, which is rhythmic or regular. Myoclonus (myo- "muscle", clonus "spasm") describes a medical sign and, generally, is not a diagnosis of a disease. It belongs to the hyperkinetic movement disorders, among tremor and chorea for example. These myoclonic twitches,
Myoclonus is a brief, involuntary, irregular (lacking rhythm) twitching of a muscle, a joint, or a group of muscles, different from clonus, which is rhythmic or regular. Myoclonus (myo- "muscle", clonus "spasm") describes a medical sign and, generally, is not a diagnosis of a disease. It belongs to the hyperkinetic movement disorders, among tremor and chorea for example. These myoclonic twitches, jerks, or seizures are usually caused by sudden muscle contractions (positive myoclonus) or brief lapses of contraction (negative myoclonus). The most common circumstance under which they occur is while falling asleep (hypnic jerk). Myoclonic jerks occur in healthy people and are experienced occasionally by everyone. However, when they appear with more persistence and become more widespread they can be a sign of various neurological disorders. Hiccups are a kind of myoclonic jerk specifically affecting the diaphragm. When a spasm is triggered by an external stimulus, it is known as a provoked spasm. Shuddering attacks in babies fall in this category.
Myoclonic jerks may occur alone or in sequence, in a pattern or without pattern. They may occur infrequently or many times each minute. Most often, myoclonus is one of several signs in a wide variety of nervous system disorders such as multiple sclerosis, Parkinson's disease, dystonia, cerebral palsy, Alzheimer's disease, Gaucher's disease, subacute sclerosing panencephalitis, Creutzfeldt–Jakob disease (CJD), serotonin toxicity, some cases of Huntington's disease, some forms of epilepsy, and occasionally in intracranial hypotension.
In almost all instances in which myoclonus is caused by central nervous system disease it is preceded by other symptoms; for instance, in CJD it is generally a late-stage clinical feature that appears after the patient has already started to exhibit gross neurological deficits.
Anatomically, myoclonus may originate from lesions of the cortex, subcortex or spinal cord. The presence of myoclonus above the foramen magnum effectively excludes spinal myoclonus; further localisation relies on further investigation with electromyography (EMG) and electroencephalography (EEG).
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ABSTRACT SNUS is a smokeless tobacco that is placed under the (upper) lip, Although the adverse effects of nicotine have been extensively described, its impact on sleep remains relatively unknown. We describe a case of hypnic jerks caused by SNUS. Hypnic jerks are short, sudden, and spontaneous muscle contractions occurring at sleep onset that may increase due to stimulants, such as SNUS. We describe a 32‐year‐old male patient with disturbed sleep for 5 years. The patient experienced shock‐like episodes when falling asleep since he had been using SNUS. A polysomnography demonstrated an increase in muscle activity on the EMG‐ and the leg channel during transition from light sleep to wake, as well as an increase in heart rate. A diagnosis of hypnic jerks was made. The patient was advised to quit using SNUS. After discontinuing SNUS use, the patient fully recovered. This case report is the first to describe hypnic jerks caused by SNUS. The hypnic jerks were confirmed by polysomnography. It is also the first to describe the negative effects of SNUS on sleep. Meticulous history taking, addressing the patient's drug use, including stimulants such as SNUS/nicotine, may help prevent unnecessary testing.
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