The Laboratory Assessment of Childhood Sleep-Wake Disorders

Awareness of the ontogenetic aspects of sleep is a pre-requisite to the proper laboratory assessment of sleep-wake disorders of childhood because normative data pertaining to respiration and sleep change continuously from infancy through adolescence. Obstructed breathing may manifest itself either i...

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Bibliographic Details
Published in:American journal of electroneurodiagnostic technology 2002-06, Vol.42 (2), p.73-95
Main Authors: Kotagal, Suresh, Herold, Daniel L.
Format: Article
Language:English
Subjects:
Actigraphy
Biological and medical sciences
classification
Electrodiagnosis. Electric activity recording
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
multiple sleep latency test
Nervous system
Nervous system (semeiology, syndromes)
Neurology
nocturnal polysomnography
ontogeny
sleep
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Summary:Awareness of the ontogenetic aspects of sleep is a pre-requisite to the proper laboratory assessment of sleep-wake disorders of childhood because normative data pertaining to respiration and sleep change continuously from infancy through adolescence. Obstructed breathing may manifest itself either in the form of obstructive sleep apnea or the upper airway resistance syndrome. There is no consensus about the scoring of hypopneas in childhood. Daytime sleepiness is evaluated using a combination of sleep history, nocturnal polysomnography, and the multiple sleep latency test. Serial batteries of tests may be needed to make a definitive diagnosis of narcolepsy in a child. The combination of wrist actigraphy and sleep logs is useful in the evaluation of circadian rhythm disorders. This paper summarizes practical information relevant to EEG and sleep technologists.
ISSN:1086-508X
2375-8619
DOI:10.1080/1086508X.2002.11079380