During slow-wave sleep (non-REM stage 4), the patient first startled (A), raised her left arm (B) and then sequentially pressed invisible response buttons with the right and left hands (between C and D). During the episode, the associated EEG showed persistent slow background activity with mixed delta, theta and alpha frequencies. A mild heart rate increase was also observed on the electrocardiogram. After the replay, a spindle was observed on the EEG recording. EOG1 and EOG2, electrooculograms, FP1-C3, C3-O1, C3-T3, T3-O1, FP2-C4, C4-O2, C4-T4; T4-O2, 8 channels of electroencephalograms; EMG1, electromyogram of the submentalis muscle; EKG, electrocardiogram.