Benign neonatal sleep myoclonus is a disorder characterised by abnorma
l episodic jerky movements, which occur exclusively during sleep, When
the history is suggestive of the diagnosis, and physical examination
and basic investigations are normal, a confident diagnosis can usually
be reached, and other potentially more serious neonatal seizure disor
ders excluded. This allows the doctor to reassure the parents as to th
e prognosis - the condition resolves spontaneously within the first ye
ar, most often within the first three months, with no sequelae. We des
cribe four patients who presented to one unit with this condition.