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Updates on Pediatric Sleep Disorders

  • Sleep and Sleep Apnea at the Extremes (D Gozal, Section Editor)
  • Published:
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Abstract

Purpose of Review

Pediatric sleep medicine is a developing field with recent advances in pathophysiology, diagnosis, and/or management of circadian rhythm disorders, obstructive sleep apnea, narcolepsy, and parasomnias. This article aims to provide a review and highlight recent updates in these specific sleep disorders.

Recent Findings

Our understanding of circadian rhythms and melatonin profiling is becoming clearer, which opens up new diagnostic possibilities and treatment refinement. In obstructive sleep apnea, symptoms do not clearly correlate with the apnea-hypopnea index, and other sleep measures need to be studied in order to understand how treatments may provide benefit to patients. There has been the first clinical treatment trial in pediatric narcolepsy and promising drugs are on the horizon. While parasomnia treatment has not advanced much, our understanding of its pathophysiology and associated diagnostic features is growing.

Summary

Advancements across a number of areas of pediatric sleep medicine offers exciting avenues for more accurate and timely diagnoses and evidence-based management to improve patient care.

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Funding

This study was supported in part by the National Institutes of Neurological Disorders and Stroke (Grant K23 5K23NS104267-2 to Dr. Maski).

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Correspondence to Joshua August.

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Dr. Maski reports grants from Jazz Pharmaceuticals and consulting honorarium from Harmony Biosciences, Uptodate, and Medscape outside the submitted work. Jazz Pharmaceuticals and Harmony Biosciences make drugs for narcolepsy and the article covers updates in narcolepsy treatments.

Dr. August has nothing to disclose.

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August, J., Maski, K. Updates on Pediatric Sleep Disorders. Curr Sleep Medicine Rep 6, 163–175 (2020). https://doi.org/10.1007/s40675-020-00184-w

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