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.
Abstract

Related Concept Videos

REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Narcolepsy01:07

Narcolepsy

Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...