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when you're still asleep but your eyes are open. you try to move your body parts but you can't, because you're still technically asleep so your body is shutdown. it's pretty horrible.
some people get them + nightmares, which i imagine is even more messed up. they'll see figures walking up to them and they can't do anything because, again, body is shutdown.
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That reminds of some movie with Hayden Christiansen where he goes through surgery but the anasthesia only paralyzes him and he is still awake and can feel the pain.
Sounds worse than death.