[Rhythmic slow wave observed on nocturnal sleep encephalogram in children with idiopathic nocturnal enuresis]

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Published on: August 2, 2017

M Inoue, H Shimojima, H Chiba

    No to Shinkei = Brain and Nerve
    |June 1, 1984
    PubMed

    Insights

    Children with nocturnal enuresis exhibit specific rhythmic slow wave (RSW) patterns during sleep. These RSW patterns are more frequent in enuretic children and decrease with age, but this decrease is delayed in enuresis cases.

    Area of Science:

    • Neurophysiology
    • Sleep Medicine
    • Pediatrics

    Context:

    • Idiopathic nocturnal enuresis is a common childhood condition with complex etiology.
    • Understanding the relationship between sleep patterns and enuresis is crucial for effective management.
    • Previous research has not fully elucidated the specific electrophysiological characteristics during sleep in enuretic individuals.

    Purpose:

    • To investigate the characteristics of rhythmic slow wave (RSW) activity during sleep in children with idiopathic nocturnal enuresis.
    • To compare RSW patterns between enuretic children and healthy controls.
    • To explore the association between RSW occurrence, sleep stages, age, and stimuli.

    Summary:

    • Polysomnography revealed no significant differences in sleep stage distribution between enuretic and control groups.
    • Nocturnal enuresis occurred across various sleep stages, with a notable prevalence in the second and third sleep cycles.
    • Distinct RSW patterns (6-7 Hz in NREM, 3-5 Hz in REM sleep) were observed during enuretic episodes.
    • RSW incidence was higher in enuretic children, decreased with age, but showed a delayed decline in enuresis.
    • RSW was reactively provoked by sleep stage shifts and movements, with concurrent inhibition of heart rate and respiratory changes.

    Impact:

    • Identifies specific electrophysiological markers (RSW) associated with nocturnal enuresis.
    • Suggests a potential role for RSW abnormalities in the pathophysiology of enuresis.
    • Provides insights for developing targeted interventions for enuresis based on sleep physiology.

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