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The medical folklorist Shelley Adler postulates that a supernormal nocturnal experience that is part of Hmong traditional beliefs can trigger the fatal syndrome. The experience is referred to as a "night-mare," not in the modern sense of a bad dream, but rather in its original denotation as ...
An early-stage mechanism is arousal from sleep, whereas a late-stage mechanism involves hypoxic gasping and then autoresuscitation. The failure of peripheral chemosensitivity and thus breathing control in response to prolonged apnea or to asphyxia caused by rebreathing expired air (es...