Polysomnographic Characteristics and Sleep Disorders in Pediatric Moyamoya Arteriopathy
Kantisa Sirianansopa1,2, Reshma Amin2,3,4, Jackie Chiang2,3
1Division of Pulmonary Medicine, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Insights
Pediatric patients with Moyamoya arteriopathy (MMA) often experience sleep fragmentation and daytime fatigue. Further research is needed to confirm these findings in children with MMA.
Area of Science:
- Neurology
- Sleep Medicine
- Pediatrics
Background:
- Moyamoya arteriopathy (MMA) is a rare cerebrovascular disorder.
- Sleep disturbances are increasingly recognized in pediatric neurological conditions.
Purpose of the Study:
- To characterize polysomnographic findings in pediatric patients with MMA.
- To describe sleep-related symptoms in this cohort.
Main Methods:
- Retrospective case series of 11 pediatric patients with MMA undergoing polysomnography (PSG).
- Review of clinical, demographic, genetic, and sleep data, including PSG and MSLT.
- Data collected between 2014 and 2024.
Main Results:
- Sleep fragmentation was prevalent (90.9%) on PSG.
- No significant sleep-disordered breathing was observed.
- A trend toward shorter REM latency and frequent daytime fatigue (54.5%) were noted.
Conclusions:
- Pediatric patients with MMA commonly exhibit sleep fragmentation and daytime fatigue.
- Findings suggest potential sleep disturbances in MMA, warranting further investigation.
- Small sample size necessitates cautious interpretation and future prospective studies.
Purpose:
This study aimed to describe the polysomnographic characteristics and sleep-related symptoms in pediatric patients with Moyamoya arteriopathy (MMA) referred for sleep evaluation.
Patients And Methods:
We conducted a retrospective case series of pediatric patients with MMA who were referred to the sleep clinic at The Hospital for Sick Children, Toronto, Canada, and underwent level 1 polysomnography (PSG) between 2014 and 2024. Clinical, demographic, genetic, and sleep-related data, including PSG and multiple sleep latency test (MSLT) findings were reviewed.
Results:
Eleven pediatric patients were included, with a median (IQR) age of 15 (13, 17) years. Sleep fragmentation was commonly observed on PSG (n=10, 90.9%), while no patients demonstrated clinically significant sleep-disordered breathing. A trend toward shorter REM latency was noted compared with age-matched normative values. Daytime fatigue was the most frequently reported symptom (n=6, 54.5%). Two patients underwent MSLT due to persistent hypersomnolence; one met diagnostic criteria for narcolepsy.
Conclusion:
In this retrospective case series, sleep fragmentation and a trend toward shorter REM latency were commonly observed in pediatric patients with MMA. However, given the small sample size and absence of pre-revascularization baseline data, these findings should be interpreted with caution. These results are descriptive and hypothesis-generating, and further prospective studies are needed to better understand sleep disturbances in this population.
Related Concept Videos
REM Sleep Behavior Disorder
RBD is significantly associated with...
Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Narcolepsy
Sleep Apnea
The condition is more prevalent among...


