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Sleep paralysis is a state, during waking up or falling asleep, in which a person is conscious but in a complete state of full-body paralysis. [1] [2] During an episode, the person may hallucinate (hear, feel, or see things that are not there), which often results in fear.
Hypnagogia is the transitional state from wakefulness to sleep, also defined as the waning state of consciousness during the onset of sleep. (Its corresponding state is hypnopompia –sleep to wakefulness.) Mental phenomena that may occur during this "threshold consciousness" include hallucinations, lucid dreaming, and sleep paralysis.
Individuals with exploding head syndrome hear or experience loud imagined noises as they are falling asleep or are waking up, have a strong, often frightened emotional reaction to the sound, and do not report significant pain; around 10% of people also experience visual disturbances like perceiving visual static, lightning, or flashes of light.
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Its mirror is the hypnagogic state at sleep onset; though often conflated, the two states are not identical and have a different phenomenological character. Hypnopompic and hypnagogic hallucinations are frequently accompanied by sleep paralysis, which is a state wherein one is consciously aware of one's surroundings but unable to move or speak.
These hallucinations often accompany sleep paralysis, another symptom of the classic tetrad. While still being investigated, several studies report that hypnogogic hallucinations are prevalent in roughly 50% of pediatric narcolepsy cases, but prevalence of hallucinations has varied widely in several studies. [9] [11]
Sleep paralysis occurs when one is in a conscious state of falling asleep or waking up but unable to move, during which one may experience dream-like hallucinations. A documentary on sleep ...
Sleep paralysis is associated with sleep-related hallucinations. [22] Predisposing factors for the development of recurrent isolated sleep paralysis are sleep deprivation, an irregular sleep-wake cycle, e.g. caused by shift work, or stress. [22] A possible cause could be the prolongation of REM sleep muscle atonia upon awakening. [34]