Prevalence and pattern of sleep disorder among children with neurological diseases in University of Benin Teaching Hospital, Benin City, Nigeria

Ofovwe, GE; Ofovwe, CE; Okunola, P

doi:10.4314/njp.v39i1.3

Cited by 3 publications

(8 citation statements)

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“…Psycho social implications of hypersomnia have been reported from other regions of the world as well as the dearth of facilities for sleep studies in the country. [1][2][3]7,8 It took seven years and a significant progressive deterioration in academic in performance before a concerted effort was undertaken by his caregivers to unravel the disorder. It underscores the poor degree of awareness about sleep disorders in the patient's immediate environment.…”

Section: Discussionmentioning

confidence: 99%

“…13 The Adolescent Sleep Hygiene Scale (ASHS) score was 63% of the maximum score and indicative of normal sleep hygiene. 14 The Epworth Sleepiness Scale (ESS) score was 19 (Table 1), with maximal scores in all sedentary parameters, indicating EDS 7,15 . The examination of the central nervous system was normal except for the findings of: loss of interest, sad mood, impaired concentration and suicidal ideation while using the Hospital Anxiety and Depression Scale (HADS) instrument to assess for depression 16 .…”

Section: Case Reportmentioning

confidence: 99%

“…Consequently childhood hypersomnia demands comprehensive assessment and management. Studies and reports on childhood sleep and sleep related disorders, particularly in an environment like ours with limited services for sleep disorders, could increase awareness and facilitate the development and provision of such services 7,8 . The studies could achieve these through increasing awareness, and providing data, on the need to provide diagnostic and therapeutic services for sleep disorders.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Studies on the prevalence of sleep disorders in the Nigerian population are lacking 7 . However studies on EDS, the cardinal feature of hypersomnia, from Nigeria indicate a prevalence of 53% among children with neurological disorders, 44.8% among adults with depression and 17% in a school population [7][8][9] . An EDS prevalence rate of 15% has also been reported from a school population in the United States while worldwide estimates put the prevalence of EDS as ranging four to 30% in adult populations 3,6 .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Diagnostic challenges and psychosocial impacts of hypersomnia in a Nigerian adolescent: A case report

Eseigbe¹,

Nuhu²,

Sheikh³

et al. 2014

Nig. J. Paed.

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Hypersomnia, a disorder of sleep characterized by excessive quantity of sleep and excessive daytime sleepiness (EDS), could adversely affect health outcomes in childhood. To highlight diagnostic challenges and the impact of childhood hypersomnia in a resource limited setting, a 14 year old Nigerian who presented with a seven year history of hypersomnia was studied. Screening for sleep disorder using BEARS sleep algorithm and assessment for EDS using the Epworth Sleepiness Scale were both positive for EDS. The assessment of sleep hygiene using the Adolescent Sleep Hygiene Scale was normal and the use of Raven's Progressive Matrices to assess intelligence was also normal. There was no contributory past medical history or demonstrable etiology. Magnetic Resonance Imaging (MRI) of the brain, Electro Encephalogram (EEG), assay of serum electrolytes were all normal while screening test for trypanosomiasis was negative. Poor level of awareness, high cost of evaluation and limited facilities for diagnosis of sleep disorder were the major diagnostic challenges. Depression, poor academic performance, suicidal ideation and stigmatization were all associated with hypersomnia in the patient.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Diagnostic challenges and psychosocial impacts of hypersomnia in a Nigerian adolescent: A case report

Eseigbe¹,

Nuhu²,

Sheikh³

et al. 2014

Nig. J. Paed.

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Sleep-disordered breathing and neurobehavioral symptoms in children in a Southeast Nigerian city

Ayuk¹,

Uwaezuoke²,

Ndu³

et al. 2019

Indian J Child Health

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Introduction: Sleep-related breathing difficulties can lead to neurobehavioral symptoms in children. They can be assessed through validated screening questionnaires. Objective: This study aims to determine the prevalence of sleep-disordered breathing (SDB) among children, as well as neurobehavioral symptoms and associated risk factors. Materials and Methods: Descriptive cross-sectional study was conducted using the pediatric sleep questionnaire to assess sleep habits such as snoring and sleep apnea; neurobehavioral symptoms such as easy distractibility and disruptive behavior. The sample size of the study was 400 participants consecutively enrolled from consenting households in the enumeration areas in Enugu, Southeast Nigeria. Percentage prevalence of neurobehavioral symptoms was calculated, and SDB scores assigned with the determining cutoff score of >0.33. Analyses for an association of SDB score with socio-economic class (SEC), age, and gender, were performed using relevant statistics. Results: Of the 338 children aged between 2 and 18 years, 47% (158) were males. Children between 2 and 5 years represented 30% (101), while 59% (110) and 11% (46) were children 5–10 years and >10 years, respectively. The mean age of all participants was 6.4±3.1 years, 10% (34) belonged to SEC one while 49% (164) and 41% (139) belonged to middle and lower classes, respectively. At least one of SDB symptoms was present in 73% (248) of participants, but the SDB criteria score was met by 45 participants giving a prevalence of 13.3%. The most prevalent neurobehavioral symptoms were bed wetting in 56.8% (192), easy distractibility in 50.9% (167), and excessive day time sleepiness in 41.3% (139) cases. SDB was more likely in children with up to seven neurobehavioral symptoms, with an odds ratio of 8.27 (CI 3.48–19.66). Conclusions: SDB prevalence rate was found to be high in the present estimated pediatric population. The presence of seven or more neurobehavioral symptoms was associated with SDB and was predominant in children aged between 5 and 10 years.

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Epidemiological, Clinical and Therapeutic Aspects of Neuropaediatric Emergencies in Children Aged 1 Month to 15 Years in the Paediatric Emergency Department of CHU-Gabriel Toure

2024

J Cli Ped Chi Res

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Introduction: Paediatric neurological emergencies are a major public health problem worldwide, in Africa and in Mali. Despite the scale and complexity of paediatric neurological emergencies, there is little data in the literature in Africa and particularly in Mali on these neurological disorders in paediatrics. Aim: The aim of our study was to examine the epidemiological, clinical and therapeutic aspects of neuropaediatric emergencies in children aged between 1 month and 15 years in the paediatric department of the CHU-Gabriel Touré in 2021. Patients and Methods: This was a cross-sectional study conducted over a twelve-month period (01 January to 31 January 2021) in children aged 1 month to 15 years hospitalised in the paediatric emergency department for a neurological emergency. Results: The frequency of hospitalization was 18.35%. The age group 12 to 60 months accounted for 43.7%. The sex ratio was 1.44. Convulsion was the most frequent reason for hospitalisation (49.3%). Delayed psychomotor development was noted in 4%. Around 3% of the children had not been vaccinated. On clinical neurological examination, the signs observed were : Altered consciousness (88.3%), convulsion (61%), and axial hypotonia (29%). Focal convulsions accounted for 59%, and 45.7% were febrile. The main diagnoses were neuromalaria, hyperpyretic convulsion and meningitis (68.3%, 7% and 6.3% respectively). The death rate within the first 24 hours was 48%. The average length of hospitalisation was 5.03 +/-4.5 days, with extremes of 1 and 21 days. Conclusion: Neuropaediatric emergencies are a major paediatric health problem. They are frequent and contribute substantially to infant and child mortality in our context.

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Prevalence and pattern of sleep disorder among children with neurological diseases in University of Benin Teaching Hospital, Benin City, Nigeria

Cited by 3 publications

References 1 publication

Diagnostic challenges and psychosocial impacts of hypersomnia in a Nigerian adolescent: A case report

Diagnostic challenges and psychosocial impacts of hypersomnia in a Nigerian adolescent: A case report

Sleep-disordered breathing and neurobehavioral symptoms in children in a Southeast Nigerian city

Epidemiological, Clinical and Therapeutic Aspects of Neuropaediatric Emergencies in Children Aged 1 Month to 15 Years in the Paediatric Emergency Department of CHU-Gabriel Toure

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