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Postgraduate Education Corner: CONTEMPORARY REVIEWS IN SLEEP MEDICINE |

A Review of Pediatric Nonrespiratory Sleep Disorders*

Melisa Moore, MA; David Allison, MD; Carol L. Rosen, MD
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*From the Department of Psychology (Ms. Moore), the Department of Pediatrics (Dr. Allison), Division of Behavioral Pediatrics and Psychology, and the Division of Clinical Epidemiology and Biostatistics (Dr. Rosen), Case Western Reserve University School of Medicine, Cleveland, OH.

Correspondence to: Melisa Moore, MA, Case Western Reserve University, Department of Psychology, Mather Memorial Building, No. 109, 10900 Euclid Ave, Cleveland, OH 44106; e-mail: melisaemoore@yahoo.com



Chest. 2006;130(4):1252-1262. doi:10.1378/chest.130.4.1252
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Sleep problems are extremely common during childhood, from infancy to adolescence. Despite the prevalence of sleep problems, childhood sleep disorders are often underrecognized and undiagnosed, despite being either preventable or treatable. Sleep impacts almost all aspects of a child’s functioning, and thus the increased recognition and treatment of sleep disorders will positively affect a child’s well-being. Children experience the same broad range of sleep disturbances encountered in adults, including sleep apnea, insomnia, parasomnia, delayed sleep phase, narcolepsy, and restless legs, but their clinical presentation, evaluation, and management may differ. Although snoring and sleep apnea may be the most common indication for an overnight sleep study in a child, one quarter of children presenting to a sleep clinic for evaluation will have a second sleep diagnosis, which is often nonrespiratory in nature. Especially in children, ruling out sleep apnea is rarely the end point of the sleep evaluation. Clinicians involved in sleep medicine must be prepared to recognize, evaluate, and manage plans for sleep disorders across the lifespan of the patient. This article will provide an updated review of nonrespiratory pediatric sleep disorders within a developmental framework.

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