Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): The patient is male, 40 years old, in good health until 33 years old. In recent years, he had frequent attacks and his condition was: at night when he was sleeping, sometimes he suddenly sat up, covered with sweat, his eyes were straight, his eyes were red, he was shouting, talking nonsense, and sometimes he hit people and pressed him to the bed with the light on, and he went back to sleep. The next day, when he was asked what happened at night, he didn’t know anything. During the day, nothing happened, just like a normal person, this problem has been seven or eight years. The family was very scared. In the local hospital, the head CT, head MRI, ECG, brain ultrasound did not find any abnormalities, and sedative drugs were not taken, but nothing worked. 1: What kind of disease is this, what should I do, and can I see you? 2: Can you give me some advice about this condition? Guangzhou Brain Hospital Psychiatric Department Yang Qiong: 1. This is a kind of sleep terrors. 2, sleep terrors (sleepterror), also known as night terrors, is a common sleep disorder in young children, mainly for sleep suddenly do up screaming, crying, accompanied by panic expressions and movements, as well as increased heart rate, shortness of breath, sweating, pupil dilation and other symptoms of autonomic excitement. It usually occurs in the first half of the night, 1-2 hours after going to sleep in the slow wave sleep, usually lasts for 1 – 10 minutes before lying down and going back to sleep, and cannot be remembered after waking up, but a few remember fragmentary impressions. Usually occurs at the age of 4 – 12 years, about 50% have a family history, adult sleep terrors are relatively rare, and adult sleep terrors are usually associated with psychopathology. 3. Sleep terrors must be differentiated from epilepsy and dream anxiety attacks. Rationale: No abnormalities in the patient’s head CT and head MRI can exclude intracranial tumor; no abnormalities in EEG examination, and no enuresis or tonic spasm seizures can basically exclude epilepsy, but need to check the pupil-to-light reflex during seizures; seizures are not easy to wake up, and cannot clearly remember dreams after waking up, which can exclude nightmares (dream anxiety attacks) 4. Suggestions: ① Do polysomnography to understand the sleep situation; ② Detailed psychiatric examination for trauma or other psychiatric disorders.