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Published on: November 3, 2016
[Parasomnias in pediatrics]
1Departamento de Neuropediatría, Centro Médico La Costa, Asunción, Paraguay.
Insights
Parasomnias are sleep-related events causing distress and confusion with other conditions. Accurate diagnosis and management are crucial, especially in children, to prevent complications.
Area of Science:
- Neurology
- Sleep Medicine
- Pediatrics
Background:
- Parasomnias are sleep disorders involving abnormal behaviors during sleep or wakefulness.
- They can cause significant distress to individuals and observers, leading to numerous medical consultations.
- Differentiating parasomnias from conditions like epilepsy requires careful clinical evaluation.
Purpose of the Study:
- To define parasomnias and their classification.
- To highlight the importance of accurate diagnosis and management.
- To emphasize the impact of parasomnias on child development.
Main Methods:
- Review of the definition and etymology of parasomnias.
- Discussion of clinical presentation and diagnostic challenges.
- Classification of parasomnias according to the International Classification of Sleep Disorders (ICSD-3).
Main Results:
- Parasomnias are categorized into REM sleep, non-REM sleep, and other specified types.
- Triggers include febrile processes, medications, emotional disturbances, and respiratory issues.
- Familial patterns and associations with neurodevelopmental disorders are noted.
Conclusions:
- Parasomnias are common and require thorough investigation.
- Proper understanding and management are essential for preventing complications, particularly in pediatric populations.
- Accurate diagnosis is key to differentiating from conditions like epilepsy.
Abstract:
Parasomnias, from the Greek "para" (around) and the Latin "somnus" (sleep), refer to manifestations that occur in relation to sleep: whether at the onset, during its course, or upon waking. They constitute up to a third of consultations. These events are striking and often bothersome, both for those who experience them and for those who observe them. They involve motor, cardiovascular, or other manifestations, generating fear and/or anxiety when witnessed. Some parasomnias show a familial pattern or are associated with neurodevelopmental disorders, appearing in relation to triggers such as febrile processes, medications, emotional disturbances, or respiratory disorders. This can lead to confusion with conditions like epilepsy, necessitating meticulous examination and clinical history-taking to ensure accurate diagnosis. The International Classification of Sleep Disorders (ICSD-3) by the American Academy of Sleep Medicine (AASM) classifies parasomnias into three categories: a) Parasomnias related to REM (rapid eye movement) sleep; b) Parasomnias related to non-REM sleep and c) Other specified or unspecified parasomnias. Given the impact of sleep problems on children's development, it is essential to be adequately prepared and informed to address these issues and prevent potential complications.
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