Tag und Nacht in Bewegung - Schlafverhalten hypermotorischer Kinder

Kostanecka-Endress, Tatiana; Woerner, Wolfgang; Hajak, G.; Rothenberger, Aribert

doi:10.1007/s001120050706

Cited by 5 publications

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“…Das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom (attention deficit hyperactivity disorder, ADHD) ist ein häufiges (Tab. 2) verhaltensneurologisch definiertes Störungsbild, das durch die Symptome der Unaufmerksamkeit, der Überstimulation, der Hyperaktivität, der Impulsivität und durch die Schwierigkeit, eine Belohnung abwarten zu können, gekennzeichnet ist [23,42]. Schlafstörungen gelten nicht als diagnostisches Kriterium des ADHD; gleichwohl sind Klagen über Ein-und Durchschlafprobleme dieser Kinder häufig und werden von den Eltern in den Vordergrund gestellt.…”

Section: ■ F Kind Mit Auffälligen Verhaltensweisen Im Wachenunclassified

Konzept und Inhalte eines Objective structured clinical examination (OSCE) für die Pädiatrische Schlafmedizin

2006

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Section: ■ F Kind Mit Auffälligen Verhaltensweisen Im Wachenunclassified

Konzept und Inhalte eines Objective structured clinical examination (OSCE) für die Pädiatrische Schlafmedizin

2006

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“…Children with sleep‐related breathing disorders have a restless sleep reflected for example by an enhanced number of leg movements [36, 37, 39]. Furthermore children with OSAS as well as PLMD or RLS have some daytime behavioral problems comparable with symptoms characteristic of attention deficit hyperactivity disorder (ADHD) [7, 12, 17, 20, 31]. To improve the accuracy of diagnosis and choice of treatment it is necessary to screen for sleep related disturbances of breathing as well as periodic limb movements.…”

Section: Introductionmentioning

confidence: 99%

“…PLMD/RLS and OSAS have been proposed to possibly result in the symptoms of attention deficit hyperactivity disorder (ADHD) in children [7, 10, 12, 17, 20, 28, 29, 31], a common childhood illness with a reported prevalence of between 3 % and 16 % [14]. In this disorder daytime behaviors such as inattentiveness, moodiness and paradoxical overactivity resulting in learning disabilities are often seen.…”

Section: Introductionmentioning

confidence: 99%

Periodic Leg Movements and Sleep-Disordered Breathing in Children. Periodische Beinbewegungen und schlafbezogene Atmungsstorungen im Kindesalter

Scholle

Zwacka³

2001

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Objective Children with OSAS (obstructive sleep apnea syndrome) have a restless sleep. Furthermore they show a changed daytime behavior comparable with attention deficit hyperactivity disorder (ADHD). We investigated the prevalence of periodic leg movements in sleep in OSAS patients to answer the question whether OSAS can be misinterpreted by insufficient diagnostics for example actigraphy alone. Methods 25 children who had no OSAS (controls) (age 3.1 to 14.3 years, median 7.3 years) were examined polysomnographically. 25 age-matched patients with clinically confirmed OSAS and an apnea/hypopnea index (AHI) ³ 5/h were investigated polysomnographically in one night before treatment (diagnostic night ± baseline) and in one night with therapy. In the 3 groups the number of all leg movements (LM) and periodic leg movements (PLM) were counted in the time in bed as well as in the total sleep time (LMS/PLMS). Furthermore the number of LM and PLM was calculated in wakefulness, NREM and REM. The ratio of PLM to LM was calculated. Additionally we calculated, how frequently LMS and PLMS were accompanied by EEG-arousals. Results 92 % of OSAS patients had an enhanced PLMS-Index > 5/h TST. OSAS patients without therapy had a significantly enhanced number of LMS (LMS: 19.2/h TST [qr = 12.3]) and PLMS (11.8/h TST [qr = 10.6]) in comparison to controls (LMS: 8.9/h TST [qr = 2.4], PLMS: 2.3/h TST [qr = 2.1]) and treated OSAS patients (LMS: 9.9/h TST [qr = 4.7], PLMS: 3.7/h TST [qr = 3.6]). Under therapy there was a significant diminution of LM and PLM in NREM and REM but not during wakefulness. Without therapy two thirds of all LMS were PLMS (66.3 % [qr = 16.4]) while in treated patients the total LMS included one third PLMS (39.6 % [qr = 32.9]) comparable with controls (28.4 % [qr = 15.9]). 90.1 % [qr = 18.9] of all PLMS in controls were accompanied by EEG-arousals but 61.0 % [qr = 23.9] in OSAS patients and 71.4 % [qr = 36.7] in treated OSAS patients. Conclusions OSAS patients in childhood have a PLMD by definition (PLMS > 5 per hour TST, changed daytime behavior [2]) resolving by the therapy of sleep disturbed breathing.Because of the overlap of the symptoms sleep-disordered breathing should be considered in the differential diagnosis of children with PLMD, RLS (restless legs syndrome) and ADHD (attention deficit hyperactivity disorder). Different pathogenesis needs an appropriate therapeutic strategy.Keywords periodic leg movements ± obstructive sleep apnea syndrome (OSAS) ± childhood attention deficit hyperactivity disorder (ADHD) ± restless legs syndrome (RLS). ZusammenfassungFragestellung Das kindliche OSAS (obstruktives Schlafapnoesyndrom) ist durch einen unruhigen Schlaf sowie eine vera Ènderte Tagesbefindlichkeit vergleichbar dem hyperkinetischen Syndrom gekennzeichnet. Es soll untersucht werden, ob vermehrte Beinbewegungen im Schlaf im Sinne periodischer Beinbewegungen (PLMS) auftreten und so bei unzureichender Diagnostik, z. B. ausschlieûlich mit der Aktigraphie, eine Fehlinterpretation des Krankheitsbildes mo Èglich wa...

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Das Restless-legs-Syndrom im Kindesalter

et al. 2004

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The diagnostic criteria of restless legs syndrome were defined in 1995 by the International Restless Legs Syndrome Study Group (IRLSSG). In light of the latest scientific evidence and increasing clinical experience, the diagnostic criteria were revised in a consensus workshop. Participants of the workshop considered the development of new diagnostic criteria especially important for the following subgroups: (1) for children and (2) for the cognitively impaired elderly. The common characteristic of both groups lies in their difficulty in expressing subjective symptoms adequately. This considerably impedes the diagnosis of restless legs syndrome. In 2002, a proposal for diagnostic criteria of restless legs syndrome in childhood was formulated by members of the study groups "Movement Disorders and Sleep" and "Paediatrics" of the German Sleep Society. The proposal was partially incorporated into the diagnostic criteria for restless legs syndrome in childhood suggested by the IRLSSG. The current criteria are recommendations to enhance further research and must be validated by clinical studies. The following article gives an overview of published studies on restless legs syndrome in childhood, reviews the proposals for diagnostic criteria, and summarizes the peculiarities to be considered in diagnosing restless legs syndrome in children.

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Tag und Nacht in Bewegung - Schlafverhalten hypermotorischer Kinder

Cited by 5 publications

References 0 publications

Konzept und Inhalte eines Objective structured clinical examination (OSCE) für die Pädiatrische Schlafmedizin

Konzept und Inhalte eines Objective structured clinical examination (OSCE) für die Pädiatrische Schlafmedizin

Periodic Leg Movements and Sleep-Disordered Breathing in Children. Periodische Beinbewegungen und schlafbezogene Atmungsstorungen im Kindesalter

Das Restless-legs-Syndrom im Kindesalter

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