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Cerebral Palsy

  • Eugenio Mercuri
  • Domenico M. Romeo
Chapter

Abstract

In the present chapter we provide an overview of sleep disorders in children with cerebral palsy (CP). Sleep disorders are more frequent in CP than in typically developing children with a prevalence varying from 19% to 63% according to different studies. The etiology is multifactorial, with anatomical factors, epilepsy and antiepileptic drugs, the severity of motor and cognitive impairment, and the presence of behavioral problems all frequently involved. Screening questionnaires, polysomnography, and actigraphy represent the principal instruments to assess general and specific sleep disorders in CP. Although no sleep interventions or trials specifically designed for sleep disorders in children with CP are reported in the literature, sleep hygiene and/or specific pharmacologic treatments such as melatonin can be considered helpful for disturbed sleep in children with CP. Because of the presence of sleep disorders influence the quality of life of all the family, a correct diagnosis and treatment could improve not only the health of the child but of all the caregivers.

Keywords

Sleep disorders Cerebral palsy Behavioral problems Epilepsy Obstructive sleep apnea Sleep questionnaire Quality of life Melatonin Sleep hygiene Surgical treatment 

List of Abbreviations

CP

Cerebral palsy

CSHQ

Children’s Sleep Habits Questionnaire

DIMS

Disorders of initiation and maintenance of sleep

EDS

Excessive daytime sleepiness

EEG

Electroencephalogram

GMFCS

Gross Motor Function Classification System

NDDs

Neurodevelopmental disabilities

OSA

Obstructive sleep apnea

PSG

Polysomnography

PSQ

Pediatric Sleep Questionnaire

QOL

Quality of life

REM

Rapid eye movement

SDB

Sleep-disordered breathing

SDSC

Sleep Disturbance Scale for Children

SWTD

Sleep-wake transition disorders

TD

Typically developing

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Eugenio Mercuri
    • 1
  • Domenico M. Romeo
    • 1
  1. 1.Pediatric Neurology Unit, Policlinico GemelliCatholic UniversityRomeItaly

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