I have had that happen, thinking you are awake, you ain’t! My tinnutus had gotten worse after c-spine surgery, but has gotten better now that I no longer need pain killers, muscle relaxants. I think that narco crap made it much worse. Bad tinnitus does seem to bring on sleep paralysis, got up a few times struggling, fighting my way out of it during my recovery. Prior to the surgery I hadn’t had an incident in a good while, probably a year or two.Lmao, waiting for the day something like this happens. Been experiencing sleep paralysis a lot lately due to the tinnitus getting worse. Had sleep paralysis back to back a few weeks ago. Got it in a dream and got myself out of it, relieved, and thinking I was awake only to actually still be in another dream and right back into paralysis. That shook me up for the whole day.