The excessive daytime sleepiness (EDS) is a condition characterized by the inability to keep awake during the day, often not recognized or valued in children, with clinical manifestations also of significant impact, both for people & for them suffer from the associated risks.
EDS is a common presenting symptom among children & adolescents, caused by a wide range of sleep disorders & other conditions & it may impair health, development & daily function but is underreported by parents &underdiagnosed by physicians, possibly due to lack of recognition. Externalizing symptoms such as hyperactivity & oppositional behavior in children maybe attributable to EDS & children may not recognize or be able to verbalize the internal state of “sleepiness.” Thus, children & adolescents with EDS often present to primary care pediatricians when parents become concerned about behavioral, mood, &academic issues that they may not attribute to underlying sleep problems. Given the high prevalence & potential health implications, prompt detection, diagnosis, & management of EDS is an essential component of pediatric care.
Studies report rates of EDS due to various etiologies ranging from 10%-20% in prepubertal children & 16%-47% in adolescents. Sleep problems that can cause EDS are present in an estimated 25%-40% of children & adolescents, encompassing behavioral, neurologic, & respiratory disorders. EDS can be manifestation of various sleep or neurological disorders, or more rarely a pathology in its own right in the context of hypersomnia of central origin (i.e. narcolepsy or idiopathic hypersomnia).
Improper diagnosis can lead to inappropriate use of medications that could worsen sleepiness & associated disruptive behaviors. Behavioral & educational interventions are preferred for treatment of most sleep disorders in children; & drug therapies may be effective adjuncts.
This webinar brings child neurologist attention to new knowledge about EDS, narcolepsy and idiopathic hypersomnia.