These attacks are uncontrolled and may be frequent. When awakened they can be aggressive, confused or verbally abusive. They may experience sudden muscle weakness, particularly when surprised, excited or laughing. Their academic performance is usually affected and they are often labelled as inattentive, lazy or dull. Sleep Apnoea - Not uncommon in children, they may snore loudly, drool on the pillow, or have morning headaches.
Daytime sleepiness is due to disturbed sleep.
These leg twitches are repetitive and may last several seconds. At night they are not recognized by the child but cause fragmented, unrefreshing sleep. They can also occur during the day, leading to a restless child who can't sit still. Attacks disrupt sleep leading to daytime fatigue and less frequently daytime sleepiness. Depression - Adolescents may suffer from unrecognized depression which often affects their academic performance.