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Sleep disorders in children with epilepsy.

M Furones García1, J J García Peñas1, E González Alguacil1

  • 1Hospital Niño Jesús. Departamento de Neurología, Madrid, Spain.

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|February 2, 2024
PubMed
Summary

Sleep disorders and poor sleep habits are highly prevalent in children with epilepsy, affecting over 80% of patients. Addressing these issues can improve quality of life and epilepsy prognosis.

Keywords:
Behavioural insomniaCo-sleepingColechoEpilepsiaEpilepsyInsomnio conductualNeurodesarrolloNeurodevelopmentSleepSleep disordersSueñoTrastornos de sueño

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Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Epileptology

Background:

  • Children with epilepsy exhibit a higher prevalence of sleep disorders compared to the general population.
  • The relationship between epilepsy and sleep disorders is bidirectional, underscoring the importance of diagnosis.

Purpose of the Study:

  • To determine the incidence of sleep disorders and poor sleep habits in pediatric epilepsy patients.
  • To investigate the association between epilepsy characteristics and sleep disturbances.

Main Methods:

  • A cross-sectional study involving 153 pediatric patients with epilepsy.
  • Sleep disorders were assessed using the Spanish version of the Sleep Disturbance Scale for Children (SDSC).
  • Sleep habits were evaluated using an original questionnaire.

Main Results:

  • Eighty-four percent of children with epilepsy experienced sleep alterations, most commonly sleep-wake transition disorders (53%), sleep initiation/maintenance disorders (47.7%), and daytime sleepiness (44.4%).
  • Despite parental reports of good sleep, objective findings revealed sleep disorders in up to 75.7% of cases.
  • Poor sleep habits, including electronic device use in bed and co-sleeping, were common. Generalised, refractory, or nocturnal epilepsy, and intellectual disability were linked to higher rates of sleep disorders.

Conclusions:

  • Sleep disorders and poor sleep habits are prevalent in children with epilepsy.
  • Intervention for these sleep issues can enhance patient and family quality of life.
  • Improving sleep may positively impact epilepsy prognosis.