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Published on: June 2, 2014
Hypersomnia in children affected by migraine without aura: a questionnaire-based case-control study
Maria Esposito1, Michele Roccella, Lucia Parisi
1Center for Childhood Headache, Unit of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical, and Preventive Medicine, Second University of Naples, Naples, Italy.
Neuropsychiatric Disease and Treatment
|March 6, 2013
Summary
Children with migraine without aura (MoA) experience more sleep disturbances and daytime sleepiness. Routine sleep screening is recommended for pediatric migraine management.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Headache Disorders
Background:
- Migraine in children is frequently associated with sleep disorders, including insufficient sleep and daytime sleepiness.
- Understanding the specific sleep patterns in pediatric migraine is crucial for effective management.
Purpose of the Study:
- To evaluate sleep habits and daytime sleepiness in a large pediatric cohort with migraine without aura (MoA).
- To compare sleep parameters between children with MoA and typically developing controls.
Main Methods:
- A cohort of 271 children (6-13 years) with MoA and 305 typically developing children participated.
- Sleep habits were assessed using the Sleep Disturbance Scale for Children (parent-reported).
- Subjective daytime sleepiness was measured using the Pediatric Daytime Sleepiness Scale.
Main Results:
- Children with MoA exhibited significantly higher total sleep disorder scores, including difficulties initiating/maintaining sleep and arousal disorders.
- Migraine patients reported significantly higher scores for daytime sleepiness compared to controls.
- A reduction in total sleep time duration was observed in children with MoA.
Conclusions:
- Significant differences in sleep habits and a high prevalence of daytime somnolence exist in children with MoA.
- Routine sleep screening should be integrated into the pediatric management of migraine.
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