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Hypersomnolence in children

Hypersomnolence in children. M Maldonado MD. Hypersomnolence. Some children have normally a higher need for sleep At the end of the continnum of need for sleep, eg. 13 –14 hs per 24 hr period Most common cause is Deprivation of sleep, particularly restorative sleep ( III and IV phases).

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Hypersomnolence in children

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  1. Hypersomnolence in children M Maldonado MD

  2. Hypersomnolence • Some children have normally a higher need for sleep • At the end of the continnum of need for sleep, eg. 13 –14 hs per 24 hr period • Most common cause is • Deprivation of sleep, particularly restorative sleep ( III and IV phases)

  3. Hypersomnia/ Narcolepsy • Described a 100 years ago • Occurs in children and adolescents • Dysregulation of periods of sleep and wakefulness • Hypersomnia during the day plus • Sleep attacks, REM type during awake states

  4. Narcolepsy. characteristics • Sleep Paralysis. ( one thinks one is awake, but cannot move ) • Cataplexy. Muscular weakness, child may fall down, sit down, lie down suddenly) • Hypnagogic hallucinations • May be brought on by strong emotions, I.e. laughter, sadness.

  5. Diagnosis • Differential diagnosis with • Idiopathic hypersomnolence • ( in which naps are not restorative of energy or person does not feel refreshed) • Kleine Levine syndrome (hypersexuality, excessive appetite, irritability,emotional changes, confusional states)

  6. Narcolepsy diagnosis • Clinical picture • Naps are restorative. Person goes into REM too soon • Multiple Sleep Latency Test • Treatment often with psychostimulants, I.e. methyphenidate, amphetaminics

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