Obstructive Sleep Apnea in Children: A Short Primer
AAP guidelines ERS guidelines In a child who snores and has signs or symptoms of OSA, clinicians should perform a more focused evaluation Step 1,2,3 – identification of a child…
Circadian Rhythm Disorders in Childhood
Time of administration in children If used as chronobiotic, administer 2–3 h before dim light melatonin onset or administer melatonin 3–4 h before actual sleep-onset time Dosage Start with a…
Sleep Structure and Scoring from Infancy to Adolescence
Fig. 6.1 Quiet sleep and active sleep in a 3-month-old infant Indeterminate sleep is the period of sleep that cannot be polysomnographically defined as either active or quiet sleep by…
The Discovery of Pediatric Sleep Medicine
Fig. 2.1 Number of publications for each decade in PubMed with search word “sleep” limited to humans and all children (0–18 years) In Fig. 2.2 the total number of publications…
Pediatric Insomnia
Infants and children should be put to bed wide awake Bedtime and wake time should remain as consistent as possible Naps should be timed early enough in the afternoon so…
Childhood Sleep and Medical Disorders
Fig. 18.1 Data from the Portuguese national survey – Health Behaviour in School-Aged Children (HBSC) [60], including 3476 students with a mean age of 14 years. The mean BMI is…
Sleep in Children with Psychiatric and Behavioral Problems
Disorders Subjective children data Objective data Anxiety disorders Parental reports of bedtime fears and rituals, need for co-sleeping and transitional objects. Nighttime waking, nightmares, DOA Reduced SL and SWS Increased…
Sleep Laboratory Tests
Fig. 5.1 Matching sleep–wake disturbance to sleep laboratory tests Nocturnal Polysomnography Technical Aspects The test consists of the recording of multiple physiological parameters during sleep. Most often this includes two…
Paralysis Is Only a Part of the Problem
Fig. 45.1 Images of Patient (a) Face: demonstrates the small jaw, broad based nose, low set ears and epicanthic folds. (b) Hands: clinodactyly of fifth digits (c) Feet: syndactyly of…
A Man with an Insidious, Painful Mononeuropathy
Right Left μV m/s μV m/s Sural (calf-ankle) No response No response Superf. peroneal (calf-ankle) No response No response Table 17.2 Motor nerve conduction studies Right Left Common…
