Non-respiratory Indications for Polysomnography and Related Procedures in Children: an Evidence-based Review

Overview

Journal Sleep

Publisher Oxford University Press

Specialty Psychiatry

Date 2012 Nov 2

PMID 23115394

Citations 7

Authors

Suresh Kotagal

Cynthia D Nichols

Madeleine M Grigg-Damberger

Carole L Marcus

Manisha B Witmans

Valerie G Kirk

Lynn A DAndrea

Timothy F Hoban

Affiliations

Soon will be listed here.

Abstract

Objective: This evidence-based review provides a systematic and comprehensive review of the literature regarding the utility of polysomnography for the evaluation of non-respiratory sleep disorders in children including hypersomnias, parasomnias, sleep-related movement disorders, and sleep in other special populations.

Methods: A task force of pediatric sleep medicine experts performed a systematic review of the literature regarding the use of polysomnography for non-respiratory sleep disorders in children. They identified and graded 76 papers as evidence.

Results: The main results include (1) polysomnography combined with the multiple sleep latency test is useful for evaluating disorders of excessive somnolence to objectively quantify sleepiness. The results have to be interpreted with consideration of the pubertal stage and regularity of the sleep patterns of the child; (2) polysomnography is indicated in children with parasomnias or sleep related movement disorders who have a high likelihood of having obstructive sleep apnea (OSA); (3) polysomnography is not routinely indicated in children with enuresis unless there is a high likelihood of OSA; (4) polysomnography can be helpful in evaluating children with restless legs syndrome (RLS) and when periodic limb movement disorder (PLMD) is suspected.

Conclusions: These findings suggest that, in children with non-respiratory sleep disorders, polysomnography should be a part of a comprehensive sleep evaluation in selected circumstances to determine the nature of the events in more detail or when the suspicion of OSA is relatively high.

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References

Frauscher B, Gschliesser V, Brandauer E, Marti I, Furtner M, Ulmer H . REM sleep behavior disorder in 703 sleep-disorder patients: the importance of eliciting a comprehensive sleep history. Sleep Med. 2009; 11(2):167-71. DOI: 10.1016/j.sleep.2009.03.011. View

Hofstra W, Grootemarsink B, Dieker R, van der Palen J, de Weerd A . Temporal distribution of clinical seizures over the 24-h day: a retrospective observational study in a tertiary epilepsy clinic. Epilepsia. 2009; 50(9):2019-26. DOI: 10.1111/j.1528-1167.2009.02044.x. View

Trajanovic N, Voloh I, Shapiro C, Sandor P . REM sleep behaviour disorder in a child with Tourette's syndrome. Can J Neurol Sci. 2004; 31(4):572-5. DOI: 10.1017/s031716710000384x. View

Silvestri R, Gagliano A, Arico I, Calarese T, Cedro C, Bruni O . Sleep disorders in children with Attention-Deficit/Hyperactivity Disorder (ADHD) recorded overnight by video-polysomnography. Sleep Med. 2009; 10(10):1132-8. DOI: 10.1016/j.sleep.2009.04.003. View

Sahin U, Ozturk O, Ozturk M, Songur N, Bircan A, Akkaya A . Habitual snoring in primary school children: prevalence and association with sleep-related disorders and school performance. Med Princ Pract. 2009; 18(6):458-65. DOI: 10.1159/000235895. View

Becker D, Fennell E, Carney P . Daytime behavior and sleep disturbance in childhood epilepsy. Epilepsy Behav. 2004; 5(5):708-15. DOI: 10.1016/j.yebeh.2004.06.004. View

Pruvost M, Zaaimi B, Grebe R, Wallois F, Berquin P, Perlitz V . Cardiorespiratory effects induced by vagus nerve stimulation in epileptic children. Med Biol Eng Comput. 2006; 44(4):338-47. DOI: 10.1007/s11517-006-0041-5. View

Thirumalai S, Shubin R, Robinson R . Rapid eye movement sleep behavior disorder in children with autism. J Child Neurol. 2002; 17(3):173-8. DOI: 10.1177/088307380201700304. View

Wille S . Nocturnal enuresis: sleep disturbance and behavioural patterns. Acta Paediatr. 1994; 83(7):772-4. DOI: 10.1111/j.1651-2227.1994.tb13136.x. View

10.

Huang Y, Lin Y, Guilleminault C . Polysomnography in Kleine-Levin syndrome. Neurology. 2008; 70(10):795-801. DOI: 10.1212/01.wnl.0000304133.00875.2b. View

11.

Cao M, Guilleminault C . Families with sleepwalking. Sleep Med. 2010; 11(7):726-34. DOI: 10.1016/j.sleep.2010.01.011. View

12.

Nowak K, Weider D . Pediatric nocturnal enuresis secondary to airway obstruction from cleft palate repair. Clin Pediatr (Phila). 1998; 37(11):653-7. DOI: 10.1177/000992289803701102. View

13.

Zamir G, Press J, Tal A, Tarasiuk A . Sleep fragmentation in children with juvenile rheumatoid arthritis. J Rheumatol. 1998; 25(6):1191-7. View

14.

Marzec M, Edwards J, Sagher O, Fromes G, Malow B . Effects of vagus nerve stimulation on sleep-related breathing in epilepsy patients. Epilepsia. 2003; 44(7):930-5. DOI: 10.1046/j.1528-1157.2003.56202.x. View

15.

von Gontard A, Schaumburg H, Hollmann E, Eiberg H, Rittig S . The genetics of enuresis: a review. J Urol. 2001; 166(6):2438-43. DOI: 10.1097/00005392-200112000-00117. View

16.

Reimao R, Pachelli L, Carneiro R, Faiwichow G . Primary sleep enuresis in childhood. Polysomnographic evidences of sleep stage and time modulation. Arq Neuropsiquiatr. 1993; 51(1):41-5. DOI: 10.1590/s0004-282x1993000100007. View

17.

Laberge L, Carrier J, Lesperance P, Lambert C, Vitaro F, Tremblay R . Sleep and circadian phase characteristics of adolescent and young adult males in a naturalistic summertime condition. Chronobiol Int. 2000; 17(4):489-501. DOI: 10.1081/cbi-100101059. View

18.

Inoue M, Shimojima H, Chiba H, Tsukahara N, Tajika Y, TAKA K . Rhythmic slow wave observed on nocturnal sleep encephalogram in children with idiopathic nocturnal enuresis. Sleep. 1987; 10(6):570-9. View

19.

Koh S, Ward S, Lin M, Chen L . Sleep apnea treatment improves seizure control in children with neurodevelopmental disorders. Pediatr Neurol. 2000; 22(1):36-9. DOI: 10.1016/s0887-8994(99)00114-9. View

20.

Lichstein K, Riedel B, Lester K, Aguillard R . Occult sleep apnea in a recruited sample of older adults with insomnia. J Consult Clin Psychol. 1999; 67(3):405-10. DOI: 10.1037//0022-006x.67.3.405. View