Recurrent isolated sleep paralysis
ICD-10 G47.53 is a billable code used to indicate a diagnosis of recurrent isolated sleep paralysis.
Recurrent isolated sleep paralysis is a condition characterized by episodes of temporary inability to move or speak while falling asleep or waking up. These episodes can last from a few seconds to a couple of minutes and are often accompanied by vivid hallucinations and a sense of pressure on the chest. Sleep paralysis occurs during the transition between wakefulness and sleep, particularly during REM sleep when the body experiences atonia, a natural paralysis that prevents individuals from acting out their dreams. While the exact cause of recurrent isolated sleep paralysis is not fully understood, it is believed to be linked to sleep deprivation, irregular sleep schedules, and certain sleep disorders such as narcolepsy. Patients may experience anxiety or fear during episodes, which can lead to avoidance of sleep and subsequent sleep deprivation, exacerbating the condition. Diagnosis typically involves a thorough clinical history and may be supported by polysomnography to rule out other sleep disorders. Treatment options may include lifestyle modifications, improving sleep hygiene, and in some cases, pharmacological interventions.
Detailed sleep history, including frequency and duration of episodes, associated symptoms, and impact on daily life.
Patients presenting with recurrent episodes of sleep paralysis, often accompanied by anxiety or fear.
Consideration of comorbid conditions such as narcolepsy or anxiety disorders that may influence treatment.
Neurological examination findings, history of sleep patterns, and any relevant sleep study results.
Patients with neurological symptoms that may overlap with sleep disorders, requiring differential diagnosis.
Awareness of the relationship between sleep disorders and neurological conditions.
Used to evaluate sleep disorders, including sleep paralysis.
Documentation of sleep study results and interpretation.
Sleep specialists should ensure comprehensive reporting of findings related to sleep paralysis.
Sleep paralysis is a temporary inability to move or speak during sleep transitions, while narcolepsy is a chronic sleep disorder characterized by excessive daytime sleepiness and sudden sleep attacks, which may include episodes of sleep paralysis.
