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Sleep Disorder: Problems Associated With Other Disorders: Differential Diagnoses & Workup
Updated: Apr 4, 2007
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
Differential Diagnoses
Workup
Other Tests
- Sleep laboratory studies are very helpful when indicated, but most common pediatric sleep problems do not require formal sleep laboratory testing. Most sleep problems resolve with behavioral treatments. A detailed sleep history, thorough physical examination, and sleep logs provide the foundation for accurate diagnosis, treatment, and possible referral for polysomnography. Atypical presentations, snoring associated with daytime somnolence, behavioral-emotional problems, apneic or hypopneic episodes, suspicion of narcolepsy, abnormal and disruptive movements in sleep, unexplained or recalcitrant sleep difficulties, or daytime sleepiness indicate a need for sleep studies.
- Overnight polysomnography and next-day multiple sleep latency testings represent the most commonly used sleep studies. Clinical suspicion of any of the following disorders should prompt referral for sleep studies:
- Sleep-related seizurelike activity
- Sleep-related gastroesophageal reflux
- Nighttime asthma or persistent cough
- ADHD or Tourette syndrome associated with restless sleep and disrupted daytime functioning
- RLS and PLMS - Relatively common in these patients
- Recurrent REM sleep behaviors
- Severe bruxism
- Snoring and hypopnea or apnea
- Recalcitrant or unexplained and daytime somnolence
- Suspected narcolepsy
- Multiple sleep latency tests aid in clarifying unexplained excessive daytime sleepiness and narcolepsy symptoms.
More on Sleep Disorder: Problems Associated With Other Disorders |
| Overview: Sleep Disorder: Problems Associated With Other Disorders |
Differential Diagnoses & Workup: Sleep Disorder: Problems Associated With Other Disorders |
| Treatment & Medication: Sleep Disorder: Problems Associated With Other Disorders |
| Follow-up: Sleep Disorder: Problems Associated With Other Disorders |
| References |
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References
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Further Reading
Keywords
associated problems in select sleep disturbances, dyssomnias, parasomnias, medical-psychiatric disorders, hypersomnia, insomnia, narcolepsy, obstructive sleep apnea syndrome, OSAS, periodic limb movements in sleep, PLMS, sleepwalking, somnambulism, bruxism, teeth grinding, grinding teeth, nightmares, night mares, sleep terrors, primary nocturnal enuresis, rhythmic movement disorders, confusional arousals, delayed sleep phase syndrome, DSPS, sleep disorders, sleep problems, rapid eye movement, REM, nonrapid eye movement, non-REM, NREM, circadian sleep-wake cycle, circadian rhythm
Differential Diagnoses & Workup: Sleep Disorder: Problems Associated With Other Disorders