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Screen / Test Your Child / Teen for Major Pediatric Sleep Disorders:
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Bed-Wetting
Excessive Daytime Sleepiness
Insomnia
Narcolepsy
Periodic Limb Movement Disorder
Restless Legs Syndrome
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Sleep Talking
Sleep Terrors / Night Terrors / Nightmares
Sleep Walking
Snoring
Teeth Grinding
Sleep Apnea |
| Sleep
Disorders - Keyword Definitions |
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Cataplexy |
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Cataplexy is a medical condition and symptom often occurring in individuals who have narcolepsy. Narcolepsy is
a sleep disorder with principal symptoms of EDS (Excessive Daytime Sleepiness), sleep attacks, cataplexy, and disturbed
or disrupted nighttime sleep. The word “cataplexy” stems from the Greek words kata, meaning down, and plexis, meaning
a stroke or seizure.
Cataplexy appears as muscular weakness that can range from a barely perceptible slackening of the facial muscles
to more obvious dropping of the jaw or head, weakness at the knees or arms, to a severe total collapse of the body onto
the floor. If it occurs in the facial muscles, the speech is slurred, or vision can be impaired (double vision, inability
to focus), but hearing and mental awareness continue to be normal. Cataplexy attacks only occur when the person is
experiencing strong emotions such as excitement, anger, fear, surprise, or laughter. These cataplexy attacks can be
very harmful if frequent or severe because these persons often have many accidents when they suddenly fall and hit their
head, break bones, or if they are operating electrical or mechanical equipment such as a car. For this reason, if the
cataplexy is not stopped by medication, people with narcolepsy cannot drive a vehicle.
Cataplexy is treated with various drugs, such as Xyrem or Sodium Oxybate, which stops these cataplexy attacks.
Cataplexy is sometimes confused with epilepsy, where a series of flashes or other stimulus may cause collapse. However,
they are two completely different medical conditions. If you have concern that your child or adolescent may have
cataplexy or Narcolepsy, you can go to www.Sleepdisorderhelp.com and do a “Screening by Parents” menu for your child.
It is quick, easy, and will give you a report that tells you what you can do if there is a high probability that you
child/teen has Narcolepsy. This is a serious Sleep Disorder that is successfully treated with medication, but should
never be ignored by parents due to the harm that can occur to your child/teen both with physical injury caused by
cataplexy attacks and the negative effects that narcolepsy’s Excessive Daytime Sleepiness has on academic and behavioral
performance.
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Central (Sleep) Apnea |
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Central Apnea has a neurological cause and occurs when the part of the brain responsible for controlling breathing
doesn't tell the body to breathe or continue the breathing process. It is a common occurrence in premature infants, but
it is fairly rare in children and adults. The most common form of apnea is Obstructive Sleep Apnea Syndrome (OSAS). An
example of central apnea might be a short pause that occurs following a deep a sigh.
While sleeping, the cardiovascular workload is at rest under normal conditions. Breathing, oxygen and carbon
dioxide levels continue to be regular and hold constant in a healthy person during sleep. Any sudden drop in oxygen or
excess of carbon dioxide (even if tiny) robustly stimulates the brain's respiratory centers to breathe. However, in
central sleep apnea, the basic neurological controls for breathing rate malfunctions and forgets to give the command to
inhale, causing the person to miss one or more cycles of breathing. If the stop in breathing is long enough, the
percentage of oxygen in the blood stream will drop too low and the concentration of carbon dioxide will build to a higher
than normal level. As a result, these conditions will have significant damaging effects on the body. Brain cells must have
continuous oxygen to live, and if the level of oxygen in the blood falls too low for long enough time, it results in the
grave consequences of brain damage or even death. Fortunately, Central Sleep Apnea is more often a chronic condition that
causes milder effects and usually doesn’t result in death. However, even this mild condition may cause a child or
adolescent some academic delays or behavior problems caused by Excessive Daytime Sleepiness.
It is not unusual for Central Sleep Apnea to exist together with Obstructive Sleep Apnea Syndrome. If the two
exist together, it is referred to as Mixed Apnea. If you have concerns that your child or adolescent may be exhibiting
some form of apnea, you can quickly and easily screen your child for Obstructive Sleep Apnea Syndrome (which is the most
harmful form of apnea) by clicking www.Sleepdisorderhelp.com and choosing the “Screening by Parents” menu. This screening
will tell you whether your child/teen is scoring in the “High Risk” or “Caution” ranges of having apnea, and what you
should do to help your child/teen if s/he scores high.
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Circadian Rhythm Cycle – and Disorder |
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Humans have Circadian Rhythms, which are biological rhythms controlled by an internal clock that works on a daily time
schedule. Due to the circadian clock, the drive or need for sleep follows a cycle, and the body should be ready for sleep
at the same time each evening and for wakefulness at the same time each morning. A Circadian Rhythm is approximately a
24-hour cycle.
Individuals with Circadian Rhythm sleep disorders are unable to sleep and awaken at the same time each day, which
can ruin the person’s ability to fall asleep at the necessary time in the evening in order to get enough sleep to awaken
on time for normal work, school, and social needs. Typically, they do not get enough sleep if allowed to sleep when they
want and are tired in the morning or need an afternoon nap. Unless they have another sleep disorder, their nighttime
sleep is of normal quality, but not long enough to feel refreshed and alert in the morning. Circadian Rhythm sleep
disorders are “jet lag”, “shift work”, and most common in adolescents is Delayed Sleep Phase Syndrome (DSPS). Teens with
DSPS have difficulty falling asleep at night and waking up in the morning in time for school. These students are often
tardy for school, or sleep through their early morning classes, or even skip school frequently, resulting in them getting
behind academically and making poor grades or dropping out of school. There are many interventions the parent can do with
their child/adolescent to stop DSPS and turn around their academic performance. If it sounds like your child/adolescent
may have DSPS, you can go to www.Sleepdisorderhelp.com and click onto the “Screening by Parents” menu and complete an
inventory that will tell you what your child/teen’s probability is of having DSPS and what you can immediately do to
correct it.
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Clonadine |
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Clonidine is an anti-hypertensive agent that works on the central nervous system. It was developed to lower high
blood pressure. Recently, it has been used to counter the side effects of stimulant medication, such as Ritalin, which
may cause insomnia in children. Clonadine is less addictive than many prescription sleep aids. Because of the above
effects, Clonidine is increasingly used in combination with stimulant medication to treat attention-deficit hyperactivity
disorder ADHD and taken in the late afternoon or evening for sleep. It may also decrease impulsive and oppositional
behavior that is typical of ADHD and reduce tics that can increase with the use of stimulant medications. However, if
you child/teen was experiencing sleep problems (such as resistance to falling asleep, snoring, choking, or gasping in
sleep, kicking and rolling around in sleep, irritable and difficult to awaken) before taken Ritalin or other Stimulant
Medications, your child/teen may have a Sleep Disorder causing the ADHD-like behaviors, which is usually very correctable.
You can screen your child/adolescent for the major sleep disorders in children and teens by going to
www.Sleepdisorderhelp.com and clicking onto the “Screening by Parents” menu and proceeding to complete the Sleep Disorders
Inventory for Students. Why put your child on stimulant medication and/or clonadine for their lifetime when there may be
an existing sleep disorder that is correctable. Once the sleep disorder is corrected, these children’s ADHD
characteristics almost always lessen or disappear completely, often negating the need to take stimulant medications or
clonadine.
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| Copyright
2007, Child Uplift Inc. - All Rights Reserved |
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