Pregledni rad
https://doi.org/10.26800/LV-145-supl1-27
Parasomnias: differential diagnostic aproach and importance of polysomnography
Romana Gjergja Juraški
; Dječja bolnica Srebrnjak, Odjel neuropedijatrije, Odjel za poremećaje spavanja, Zagreb
Matilda Kovač Šižgorić
Feodora Stipoljev
Sažetak
Parasomnias are sleep disorders with a high prevalence in the general population. Regardless of the fact that parasomnia is mostly benign in nature, it often represents a very unpleasant and undesirable phenomena during sleep in children and adults, lowering the quality of life, and can be misinterpreted and treated as epilepsy. Differential diagnosis is especially challenging in people with seizures with dominant complex motor behavior that occur during hypermotor epilepsy with nocturnal seizures when it can lead to unnecessary and expensive examinations and unsuccessful treatment. The coexistence of parasomnia and epilepsy in the same family and/or in the same person points to the common neurophysiological foundation. This review paper describes the clinical and neurophysiological features of the most common parasomnias, their genetic basis, and reliable elements in the differential diagnosis of parasomnias and nocturnal epileptic seizures. The diagnostic value of anamnestic data, video EEG polysomnography and diagnostic scales is presented. In children with epilepsy and parasomnias, especially in children who have nocturnal seizures, daytime sleepiness and difficulty sleeping should not be ignored. Any person with epilepsy and with daytime sleepiness or suspicion of non-epileptogenic nocturnal events should be sent for overnight polysomnography. Treatment of comorbidities that worsen sleep in people with epilepsy and chronopharmacology of epilepsy ensure better success in the treatment of epilepsy. Timely recognition of the existence of parasomnia allows a proper assessment of its health significance and its impact on the quality of life. The introduction of sleep medicine into the curricula of the graduate and postgraduate education enables adequate education of health workers and the acquisition of the necessary skills for working in specialized laboratories and units for sleep disorders.
Ključne riječi
EPILEPSY; PARASOMNIAS; SLEEP DISORDERS; DIFFERENTIAL DIAGNOSIS; OVERNIGHT POLYSOMNOGRAPHY
Hrčak ID:
300853
URI
Datum izdavanja:
17.4.2023.
Posjeta: 682 *