Thornton B.A. Mason II, MD, PhD, of The Children’s Hospital of Philadelphia, and Allan I. Pack, MBChB, PhD, of the University of Pennsylvania, advise pediatricians to question the parents regarding what events typically occur, how soon after sleep onset these events are noted, and whether episodes take place during naps as well as at night.
Parents should, in turn, describe in detail the movements and behaviors that are typically seen, said Mason and Pack. In addition, the authors noted, to complement the parents’ descriptions, home videos often prove very useful for identifying and classifying parasomnias. A detailed history may also be supported through the completion of sleep diaries, in which parents record sleep periods, arousals/awakenings and parasomnia events, added Mason and Pack.
"The sleep history should be accompanied by a comprehensive physical and neurological exam, to look for features that would be associated with an underlying sleep disruptor: for obstructive sleep apnea, features such as adenotonsillar hypertrophy, retrognathia, and mid-face hypoplasia; for periodic lib movements in sleep, features such as peripheral neuropathy or myelopathy," the authors wrote.
According to Mason and Pack, clinicians should be aware that many pediatric parasomnias are benign, self-limited and may not persist into late childhood or adolescence.
The bottom line, said the authors, is that the parents need to monitor their child’s sleep patterns and, if a problem persists, consult with the child’s pediatrician, who will determine whether a visit to a sleep specialist is necessary.
"Persistent, prominent and complex cases require physician management, aided by the appropriate use of diagnostic studies (polysomnogtaphy, expanded EEG recordings) and possible pharmacotherapy. The further study of parasomnias in children may help elucidate the multifactorial etiologies of these fascinating conditions, shedding light on their potential genetic bases as well as environmental contributions," the authors concluded.
Parasomnias are unwanted physical events that occur after you fall asleep, while you sleep or when you are waking up. Some of the more common parasomnias in children include sleepwalking, confusional arousals and sleep terrors.
Jim Arcuri | EurekAlert!
Antarctic Ice Sheet mass loss has increased
14.06.2018 | Technische Universität Dresden
WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf
Moving into its fourth decade, AchemAsia is setting out for new horizons: The International Expo and Innovation Forum for Sustainable Chemical Production will take place from 21-23 May 2019 in Shanghai, China. With an updated event profile, the eleventh edition focusses on topics that are especially relevant for the Chinese process industry, putting a strong emphasis on sustainability and innovation.
Founded in 1989 as a spin-off of ACHEMA to cater to the needs of China’s then developing industry, AchemAsia has since grown into a platform where the latest...
The BMBF-funded OWICELLS project was successfully completed with a final presentation at the BMW plant in Munich. The presentation demonstrated a Li-Fi communication with a mobile robot, while the robot carried out usual production processes (welding, moving and testing parts) in a 5x5m² production cell. The robust, optical wireless transmission is based on spatial diversity; in other words, data is sent and received simultaneously by several LEDs and several photodiodes. The system can transmit data at more than 100 Mbit/s and five milliseconds latency.
Modern production technologies in the automobile industry must become more flexible in order to fulfil individual customer requirements.
An international team of scientists has discovered a new way to transfer image information through multimodal fibers with almost no distortion - even if the fiber is bent. The results of the study, to which scientist from the Leibniz-Institute of Photonic Technology Jena (Leibniz IPHT) contributed, were published on 6thJune in the highly-cited journal Physical Review Letters.
Endoscopes allow doctors to see into a patient’s body like through a keyhole. Typically, the images are transmitted via a bundle of several hundreds of optical...
Light detection and control lies at the heart of many modern device applications, such as smartphone cameras. Using graphene as a light-sensitive material for...
Water molecules exist in two different forms with almost identical physical properties. For the first time, researchers have succeeded in separating the two forms to show that they can exhibit different chemical reactivities. These results were reported by researchers from the University of Basel and their colleagues in Hamburg in the scientific journal Nature Communications.
From a chemical perspective, water is a molecule in which a single oxygen atom is linked to two hydrogen atoms. It is less well known that water exists in two...
13.06.2018 | Event News
08.06.2018 | Event News
05.06.2018 | Event News
15.06.2018 | Materials Sciences
15.06.2018 | Ecology, The Environment and Conservation
15.06.2018 | Power and Electrical Engineering