Source:Becker DA, Fennell EB, Carney PR. Daytime behavior and sleep disturbance in childhood epilepsy.
Epilepsy Behav
.
2004
;
5
:
708
–715.

Investigators at the University of Florida, Gainesville, evaluated daytime behavior and sleep disturbance in 30 children with epilepsy, mean age 10.3 ± 2.1 years, using parent-rating questionnaires, child symptom self-report measures and overnight polysomnograms. Complex partial seizures were present in 43% and generalized epilepsy in 57% of children. Sixty percent of children were seizure-free during the 56-day test period, 83% were on anticonvulsant medications, and 20% were also taking methylphenidate. Abnormal sleep architecture, breathing abnormalities, and excessive daytime sleepiness were frequently encountered, and 24 (80%) patients demonstrated obstructive hypopneas or apneas with associated sleep disruption during the overnight polysomnogram. Parents’ reports indicated significant problems with inattention/hyperactivity in children with epilepsy. Behavioral problems were related to concomitant sleep disturbance and not to the severity or type of...

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