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!
New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)
Reusable carbon nanotubes could be the water filter of the future, says RIT study
30.03.2017 | Rochester Institute of Technology
Staphylococcus aureus is a feared pathogen (MRSA, multi-resistant S. aureus) due to frequent resistances against many antibiotics, especially in hospital infections. Researchers at the Paul-Ehrlich-Institut have identified immunological processes that prevent a successful immune response directed against the pathogenic agent. The delivery of bacterial proteins with RNA adjuvant or messenger RNA (mRNA) into immune cells allows the re-direction of the immune response towards an active defense against S. aureus. This could be of significant importance for the development of an effective vaccine. PLOS Pathogens has published these research results online on 25 May 2017.
Staphylococcus aureus (S. aureus) is a bacterium that colonizes by far more than half of the skin and the mucosa of adults, usually without causing infections....
Physicists from the University of Würzburg are capable of generating identical looking single light particles at the push of a button. Two new studies now demonstrate the potential this method holds.
The quantum computer has fuelled the imagination of scientists for decades: It is based on fundamentally different phenomena than a conventional computer....
An international team of physicists has monitored the scattering behaviour of electrons in a non-conducting material in real-time. Their insights could be beneficial for radiotherapy.
We can refer to electrons in non-conducting materials as ‘sluggish’. Typically, they remain fixed in a location, deep inside an atomic composite. It is hence...
Two-dimensional magnetic structures are regarded as a promising material for new types of data storage, since the magnetic properties of individual molecular building blocks can be investigated and modified. For the first time, researchers have now produced a wafer-thin ferrimagnet, in which molecules with different magnetic centers arrange themselves on a gold surface to form a checkerboard pattern. Scientists at the Swiss Nanoscience Institute at the University of Basel and the Paul Scherrer Institute published their findings in the journal Nature Communications.
Ferrimagnets are composed of two centers which are magnetized at different strengths and point in opposing directions. Two-dimensional, quasi-flat ferrimagnets...
An Australian-Chinese research team has created the world's thinnest hologram, paving the way towards the integration of 3D holography into everyday...
24.05.2017 | Event News
23.05.2017 | Event News
22.05.2017 | Event News
26.05.2017 | Life Sciences
26.05.2017 | Life Sciences
26.05.2017 | Physics and Astronomy