Eyes Wide Open in Pediatrics — 4yo Child | Paediatric Neurology | SMLE Q#17324

SMLE Question #17324

Pediatrics Paediatric Neurology
Last updated: February 2026
A 4-year-old boy has had recurrent nocturnal episodes for 3 months. About 2–3 hours after falling asleep, he suddenly sits up in bed with eyes wide open, rapid breathing, and intense fear. He does not respond to comforting or questions. The episode lasts 2–3 minutes, then he settles and returns to sleep. In the morning, he cannot recall the event. What is the most likely diagnosis?

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