Neurologic disorders masquerading as pediatric sleep problems
Abstract
Neurologic disorders may present or masquerade as pediatric sleep problems and fool the pediatrician, which may delay diagnosis and treatment. Many of the sleep problems in children with neurologic disorders arise directly from primary dysfunction or delayed maturation of their sleep-wake regulation systems. It is important to realize that nocturnal frontal lobe seizures or cluster headaches can be mistaken for night terrors, and craniopharyngiomas or myotonic dystrophy may present as narcolepsy-cataplexy. Hypothalamic dysfunction may explain not only the impaired circadian rhythm disorders in children with profound mental retardation but also excessive sleepiness and hyperphagia in Prader-Willi and Kleine-Levin syndromes. Intellectually challenged children perform better, learn more, and are better behaved with sufficient restorative sleep.
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Nocturnal frontal lobe seizures are often less than 30 seconds in duration and rarely last longer than two minutes.
“The seizures are often less than 30 seconds in duration and rarely last longer than two minutes [68,70].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [70]
Nocturnal frontal lobe seizures can occur at any time of sleep but are more common soon after falling asleep or just before waking.
“They can occur at any time of the sleep but are more common soon after falling asleep or just before waking [68,70].”
From Sleep Terrors: An Updated Review (2020) · cites this paper as [70]
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References 188 · Cited by 18
- Authors
- Grigg-Damberger, M.
- Affiliations
- University of New Mexico (US)
- Corresponding author
- Grigg-Damberger, Madeleine
- Venue
- Pediatric Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2004-02
- Volume
- 51
- Issue
- 1
- Pages
- 89-115
- ISSN
- 0031-3955 (ISSN-L)
- OpenAlex
- W2004226505
- Cited by
- 18
- References
- 188
- Citations by year
- 2025: 1 · 2024: 1 · 2019: 1 · 2018: 1 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- neurological disorders, pediatric sleep problems, misdiagnosis, cluster headache, night terrors, craniopharyngioma, myotonic dystrophy, narcolepsy type 1, hypothalamic dysfunction, circadian rhythm disorders, Prader-Willi syndrome, Kleine-Levin syndrome, sleep deprivation, intellectual disability, sleep-wake regulation
- MeSH terms
- Circadian Rhythm, Diagnosis, Differential, Habits, Humans, Nervous System Diseases, Pediatrics, Sleep Wake Disorders
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