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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
A review of pediatric nonrespiratory sleep disorders
Melisa Moore1, David Allison, Carol L Rosen
1Case Western Reserve University, Department of Psychology, Mather Memorial Building, No. 109, 10900 Euclid Ave, Cleveland, OH 44106, USA. melisaemoore@yahoo.com
Insights
Childhood sleep disorders are common but often missed. Early recognition and treatment of pediatric sleep issues, including nonrespiratory conditions, improve overall child well-being and development.
Area of Science:
- Pediatric Sleep Medicine
- Developmental Pediatrics
- Child Neurology
Background:
- Sleep problems are highly prevalent in children, affecting all age groups from infancy to adolescence.
- Despite their commonality, pediatric sleep disorders are frequently underrecognized and undiagnosed, hindering timely intervention.
- Sleep significantly influences multiple facets of a child's overall functioning and well-being.
Purpose of the Study:
- To provide an updated review of nonrespiratory pediatric sleep disorders.
- To emphasize a developmental framework for understanding and managing these conditions.
- To highlight the importance of comprehensive sleep evaluations beyond respiratory issues.
Main Methods:
- Review of current literature on pediatric sleep disorders.
- Analysis of clinical presentations, evaluation methods, and management strategies.
- Focus on nonrespiratory conditions within a developmental context.
Main Results:
- Children present with a wide spectrum of sleep disturbances, similar to adults, but with unique clinical features.
- Nonrespiratory sleep diagnoses are common in pediatric sleep clinics, often co-occurring with respiratory issues like sleep apnea.
- A thorough sleep evaluation in children frequently extends beyond ruling out sleep apnea.
Conclusions:
- Pediatric sleep disorders, particularly nonrespiratory ones, require increased recognition and effective management strategies.
- A developmental approach is crucial for addressing the complexities of childhood sleep disturbances.
- Comprehensive sleep evaluations are essential for optimizing children's health and development.
Abstract:
Sleep problems are extremely common during childhood, from infancy to adolescence. Despite the prevalence of sleep problems, childhood sleep disorders are often underrecognized and undiagnosed, despite being either preventable or treatable. Sleep impacts almost all aspects of a child's functioning, and thus the increased recognition and treatment of sleep disorders will positively affect a child's well-being. Children experience the same broad range of sleep disturbances encountered in adults, including sleep apnea, insomnia, parasomnia, delayed sleep phase, narcolepsy, and restless legs, but their clinical presentation, evaluation, and management may differ. Although snoring and sleep apnea may be the most common indication for an overnight sleep study in a child, one quarter of children presenting to a sleep clinic for evaluation will have a second sleep diagnosis, which is often nonrespiratory in nature. Especially in children, ruling out sleep apnea is rarely the end point of the sleep evaluation. Clinicians involved in sleep medicine must be prepared to recognize, evaluate, and manage plans for sleep disorders across the lifespan of the patient. This article will provide an updated review of nonrespiratory pediatric sleep disorders within a developmental framework.
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