Article

The aim of this study was to review the basic aspects of sleep disturbance
in children with traumatic brain injury (TBI). METHOD: A search was performed on
reports of sleep disturbances in children who had suffered TBI. Adults with TBI
were also considered to anticipate the nature and significance of such
disturbances in younger patients. Types of reported sleep disturbance were noted
and their possible aetiology and management considered. RESULTS: Sleep
disturbance has consistently been associated with TBI but the literature suggests
that this aspect of patient care is often inadequately considered and there has
been little research on the subject, especially in relation to children.
Excessive daytime sleepiness is often mentioned, less so insomnia and
parasomnias, but there is little information about the specific sleep disorders
underlying these problems. INTERPRETATION: Sleep disorders with potentially
important developmental consequences have been neglected in the care of children
with TBI. Screening for sleep problems should be routine and followed, if
indicated, by a detailed diagnosis of the child's underlying specific sleep
disorder, the possible aetiology of which includes neuropathology and potential
medical, psychological, or psychiatric comorbidities. Appropriate assessments and
modern treatment options are now well defined although generally underutilized.
Further well-designed research is needed for which guidelines are available.
CI - (c) 2013 Mac Keith Press.

Langue : ANGLAIS