Cocuklarda Uyku ve Narkolepsi Farkindaligi/Awareness of Sleep and Narcolepsy in Children

• Published in: Journal of Turkish Sleep Medicine Vol. 7; no. 2; p. 80
• Main Authors: Toker, Rabia Tütüncü, Demir, Aylin Bican, Okan, Mehmet Sait
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01.06.2020
• Subjects: Armodafinil; Narcolepsy; Pediatric neurology; Rutin; Sleep
• ISSN: 2148-1504; 2148-1504
• DOI: 10.4274/jtsm.galenos.2020.46338

Amaç: Çocuklarda narkolepsinin farkindaligini artirmak, geç veya yanlis tani ile olusan sosyoekonomik yükün azaltilmasina dikkati çekmek istedik. Gereç ve Yöntem: Bursa Uludag Üniversitesi, Saglik Uygulama ve Arastirma Hastanesi, Çocuk Nöroloji Klinigi'nde narkolepsi tanili çocuklarin demografik özellikleri, klinik özellikleri ve elektrofizyolojik çalismalari tibbi kayitlardan elde edilmistir. Bulgular: Çalismaya alti çocuk dahil edilmistir. Olgularda baslangiç semptomlarinin görüldügü ortalama yas 11,5 yil bulunurken, tani yasi ortalama 13,5 yil bulunmustur. Olgularin tamaminda görülen gündüz uyku haline bes olguda katapleksi, bir olguda hipnogojik halüsinasyonlar eslik etmektedir. Narkolepsi tanisi öncesi ayirici tanida baslica nöbetin düsünüldügü bulundu. Sonuç: Narkolepsinin hekimler tarafindan farkindaliginin artmasi önemlidir. Aileler ve çocuklar uyku bozuklugunu ifade edemese de nöroloji pratiginde alinacak anamnezlerde uyku düzeninin rutin sorgulanmasinin tanida gecikmeleri önleyebilecegi kanaatindeyiz. Anahtar Kelimeler: Çocuk, uyku bozukluklari, narkolepsi Objective: This study aimed to increase the awareness of narcolepsy in children and emphasize the reduction of the socioeconomic burden caused by the delayed or incorrect diagnosis. Materials and Methods: Demographic characteristics, clinical features, and electrophysiological studies of children diagnosed with narcolepsy in the Bursa Uludag University, Health Practice and Research Hospital, Clinic of Pediatric Neurology, were obtained from medical records. Results: Six children were included in the study. The average age at which the initial symptoms were observed was 11.5 years, whereas the average age of diagnosis was 13.5 years. Daytime sleep was accompanied by cataplexy in five cases and hypnogogic hallucinations in one case. Notably, the seizure was primarily considered in the differential diagnosis before diagnosing narcolepsy. Conclusion: It is crucial to increase the awareness of narcolepsy by physicians. Although families and children cannot express sleep disorders, we believe that questioning of sleep patterns during anamnesis in routine neurology practice could prevent delayed diagnosis. Keywords: Child, sleep disorders, narcolepsy