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Evaluating Sleep Disturbances in Children With Rare Genetic Neurodevelopmental Syndromes.
Olivia J Veatch1, Beth A Malow2, Hye-Seung Lee3
1Department of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, Kansas City, Kansas.
Pediatric Neurology
|August 13, 2021
Summary
Children with Rett (RTT), Angelman (AS), and Prader-Willi (PWS) syndromes experience frequent sleep disturbances. Sleep-disordered breathing is common in RTT and PWS, highlighting the need for clinical screening.
Area of Science:
- Neuroscience
- Pediatrics
- Genetics
Background:
- Sleep is crucial for neurodevelopment and health.
- Sleep disturbances are more common in children with neurodevelopmental syndromes.
- Rett (RTT), Angelman (AS), and Prader-Willi (PWS) syndromes are genetically determined neurodevelopmental disorders.
Purpose of the Study:
- Characterize sleep behavior in RTT, AS, and PWS.
- Identify effective approaches for treating sleep problems in these populations.
- Compare sleep-related symptoms across syndromes and with typically developing controls.
Main Methods:
- Recruited children from Rare Diseases Clinical Research Network registries.
- Enrolled unaffected siblings as related controls.
- Administered validated sleep questionnaires to parents.
Main Results:
- Analyzed sleep data from 714 participants (ages 2-18).
- Younger children with AS reported more sleep problems than RTT or PWS.
- Older children with RTT had increased daytime sleepiness; RTT showed more sleep-disordered breathing than PWS.
Conclusions:
- Individuals with RTT, AS, and PWS frequently experience sleep problems, including sleep-disordered breathing.
- Clinical assessment and management should include screening for sleep problems in neurogenetic disorders.
- Data can inform treatment strategies and clinical trials for sleep disturbances.
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