Too bad I missed Halloween. But here's a related case.
A preschool-aged child is brought in by his parents who worry about behaviors in his sleep. During the early part of the night, he often awakes abruptly with a loud scream. He is agitated, flushed, sweating, and tachycardic. Once, he even jumped out of bed. When his parents try to calm him, he apparently is unaware. He doesn't remember these episodes afterwards. His past medical history includes a work-up for obstructive sleep apnea; he is being evaluated by an otolaryngologist for potential tonsillectomy.
Challenge: What is going on here?
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