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Academia Mexicana de Neurología, A.C.

2013, Number 5

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Rev Mex Neuroci 2013; 14 (5)

Polysomnographic findings of sleep disorders in children with epilepsy

Quevedo-Díaz M, Plascencia-Álvarez NI, Gutiérrez-Moctezuma J

Language: Spanish
References: 26
Page: 243-248
PDF size: 208.59 Kb.


ABSTRACT

Introduction: Epilepsy and sleep disorders are very common problems with potential clinical and pathophysiologic consequences. Very little research has been done regarding their comorbidity, which is rarely considered. In epileptic patients, sleep disorders promote uncontrolled seizures that bring other problems such as delay in cognitive development and learning. Identification and treatment of sleep disorders, could favorably impact in control of seizures and in quality of life.
Objectives: To identify whether subjects with epilepsy at the CMN “20 de Noviembre” ISSSTE suffer from any sleep disorder and identify with polysomnography (PSG) and video-electroencephalography (VEEG) which are their most common sleep disorders.
Methods: Fifteen children with epilepsy were asked to answer the Sleep Disorders Scale for Children (SDSC), 8 of them also underwent an overnight PSG with VEEG.
Results: Sleep disorders were observed by PSG up to 87.5% whereas clinically, with the SDSC, 53.3% reported at least one of these disorders. The most common sleep disorders found were: Sleep-wake transition disorder and disorders of initiatingmaintaining sleep in at least 50% of cases; obstructive apnea was reported in 37.5%.
Conclusion: We were able to find with VEEG and PSG that our population had an equal or even increased incidence of sleep disorders compared with reported in the literature. We identified the most common sleep disorders, such as disorders of initiationmaintenance sleep and sleep-wake transition disorders, followed by obstructive sleep apnea.


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