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Published on: October 11, 2018
Sleep disorders in childhood
1Division of Child and Adolescent Neurology, Sleep Disorders Center, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA. kotagal.suresh@mayo.edu
Insights
Childhood sleep disorders significantly impact quality of life. Advances in neuroscience and genetics are paving the way for new treatments for conditions like narcolepsy and circadian rhythm disorders.
Area of Science:
- Neuroscience
- Genetics
- Sleep Medicine
Background:
- Childhood sleep-wake disorders are prevalent and negatively affect quality of life.
- Narcolepsy-cataplexy is now understood to be caused by hypocretin deficiency.
- Genetic factors are increasingly recognized in the regulation of circadian rhythms.
Purpose of the Study:
- To highlight recent advancements in understanding and treating childhood sleep disorders.
- To discuss the potential of new therapeutic strategies based on neurobiological discoveries.
- To explore the connection between sleep, learning, and attention in children.
Main Methods:
- Review of recent scientific literature on sleep-wake disorders.
- Analysis of neurobiological and genetic findings related to sleep.
- Discussion of technological advancements impacting sleep medicine.
Main Results:
- Hypocretin deficiency identified as the cause of narcolepsy-cataplexy, suggesting analog development.
- Emerging understanding of genetic influences on circadian rhythms.
- Progress in mind-brain interaction research linking sleep disruption to learning and attention deficits.
Conclusions:
- Sleep medicine is rapidly advancing due to progress in basic neurosciences, genetics, and technology.
- Future treatments for narcolepsy and circadian rhythm disorders are anticipated.
- Further research is needed to address methodologic challenges in studying sleep's impact on cognition.
Abstract:
Childhood sleep-wake disorders are common and associated with significant impairment of quality of life. The recent discovery of hypocretin deficiency as the pathophysiologic basis for narcolepsy-cataplexy is likely to spur the development of hypocretin analogs for definitive treatment [82,83]. The link between disrupted sleep and daytime learning and childhood inattention is a challenging area of mind-brain interaction in which further progress is likely, once methodologic issues have been sorted out. The recent recognition of genetic influences in the control of circadian rhythms also may spur the development of specific therapies for circadian rhythm disorders. In many ways, sleep medicine is benefiting from recent progress in the basic neurosciences, genetics, and technology.
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