{"id":17257,"date":"2022-07-25T17:26:38","date_gmt":"2022-07-25T15:26:38","guid":{"rendered":"https:\/\/neurologiaclinica.es\/units\/pediatric-sleep-medicine-unit\/"},"modified":"2025-04-21T15:22:38","modified_gmt":"2025-04-21T13:22:38","slug":"pediatric-sleep-medicine-unit","status":"publish","type":"page","link":"https:\/\/neurologiaclinica.es\/en\/units\/pediatric-sleep-medicine-unit\/","title":{"rendered":"Pediatric Sleep Medicine Unit"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17257\" class=\"elementor elementor-17257 elementor-6455\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7b77917c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7b77917c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39b4485b\" data-id=\"39b4485b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ce7aeb8 elementor-widget elementor-widget-heading\" data-id=\"5ce7aeb8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Pediatric Sleep Medicine Unit<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cea78af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cea78af\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f76bb2f\" data-id=\"f76bb2f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-37e4218 elementor-widget elementor-widget-text-editor\" data-id=\"37e4218\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"wpb_column vc_column_container vc_col-sm-8\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p>Children and adolescents have a <strong>sleep pattern with specific characteristics linked to age and physiological immaturity<\/strong>. The UPMS is a <strong>care structure<\/strong> where information is obtained about the sleep of these patients, in a friendly environment that favors the child&#8217;s collaboration. The UPMS is staffed by professionals with extensive experience in their management, who work together in a multidisciplinary approach (pediatrics, neonatology, neurology, pulmonology, clinical neurophysiology, ENT, maxillofacial surgery, psychology, psychiatry).  <\/p><p><br>This pediatric unit allows the development of the same techniques as in adults and has <strong>the capacity to diagnose all sleep disorders that can appear in children<\/strong>, including infants, and in adolescents (83 pathologies, classified into 7 categories). According to the Spanish Sleep Society, 25-30% of consultations to the pediatrician are related to sleep-related problems. In children, the most frequent are insomnia (20%), restless legs syndrome or RLS (2% of children and adolescents, 20% in hyperactive children) and sleep apnea-hypopnea syndrome or SAHS (3-4%).  <\/p><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eeee411 elementor-widget elementor-widget-text-editor\" data-id=\"eeee411\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong>WHAT SYMPTOMS MAY REFLECT A SLEEP DISORDER?<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3077fba elementor-widget elementor-widget-text-editor\" data-id=\"3077fba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"wpb_column vc_column_container vc_col-sm-8\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p>Sleep needs are variable according to age and constitutional factors, with a recommended duration (in 24 hours) ranging from 18-19h in newborns to 8-10 hours of sleep per day in adolescents. However, on many occasions, insufficient or excessive sleep manifests itself as: <\/p><ul><li>Frequent or prolonged awakenings during the night<\/li><li>Problems falling asleep<\/li><li>Tiredness or lack of energy in the morning<\/li><li>Nocturnal snoring or abnormal breathing sounds<\/li><li>Breathing pauses during sleep<\/li><li>Excessive night sweats<\/li><li>School performance problems<\/li><li>Daytime restlessness, impulsivity, inattentiveness, irritability<\/li><li>Sleepwalking (sleepwalking), night terrors (screaming and crying with marked restlessness)<\/li><li>Excessive daytime sleepiness (in children older than 5 years, it may manifest itself only as the need to nap). <\/li><li>Weakness in laughing or facial grimacing at inappropriate times<\/li><li>Headaches Frequent headaches, especially morning headaches<\/li><li>Teeth grinding at night<\/li><\/ul><\/div><\/div><div class=\"wpb_text_column wpb_content_element \"> <\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c4378b elementor-widget elementor-widget-text-editor\" data-id=\"7c4378b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong>APPROACHING SLEEP PROBLEMS IN CHILDHOOD-ADOLESCENCE<\/strong><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc82b5e elementor-widget elementor-widget-text-editor\" data-id=\"bc82b5e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"wpb_column vc_column_container vc_col-sm-8\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\">A detailed medical history should be taken, exploring the child, measuring weight and height, observing the throat and asking about the history of the patient, parents and siblings. A complete general examination is performed, including weight and height measurements, and special attention to the oropharynx. In addition, specific questionnaires should be used for each pathology, in order to request the appropriate complementary tests and prescribe the treatment adjusted to the pathology and the age of the child.  <\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a2ac63e elementor-widget elementor-widget-text-editor\" data-id=\"a2ac63e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>COMMON SLEEP DISORDERS IN CHILDREN AND ADOLESCENTS<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e32b116 elementor-widget elementor-widget-text-editor\" data-id=\"e32b116\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"wpb_column vc_column_container vc_col-sm-8\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\">We will detail the differential and specific characteristics, in patients from 0 to 18 years of age, with respect to those appearing in adults.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba9c948 elementor-widget elementor-widget-toggle\" data-id=\"ba9c948\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1951\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1951\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Insomnia<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1951\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1951\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div>  As in adults, it is defined by difficulty initiating sleep, frequent or prolonged awakenings and\/or nocturnal agitation with jerking of the legs and groaning. In infancy, behavioral insomnia, manifested by inappropriate associations, is common. The child needs rocking, bottle-feeding, parental presence to initiate sleep or to fall back to sleep if awakened. There is an absence of established limits. The child shows resistance to go to bed and frequently does so with protests. This type of insomnia improves significantly with behavioral treatment, adapted to our environment and family structure. In other cases there is a relationship with anemia, food intolerances (including celiac disease) or depressive mood, requiring specific treatment.      <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1952\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1952\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Obstructive sleep apnea-hypopnea syndrome (OSAHS)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1952\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1952\"><div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>It is also manifested by the presence of snoring and airway obstructions during sleep. Consequently, sleep is not restorative, so patients present hyperactivity and attention deficit, unlike adults, in whom it manifests as daytime sleepiness. The most frequent cause in children is adenotonsillar hypertrophy (80%), which is resolved in most cases with surgical treatment. In the rest of the patients there is usually a malformation of the facial mass. The association between SAHS and overweight-obesity is increasingly frequent, with similar characteristics as in adult patients.    <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1953\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1953\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Sudden Infant Death Syndrome (SIDS)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1953\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1953\"><div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>  SIDS is characterized by the sudden death of an apparently healthy infant under one year of age. This disorder has been related to different factors, such as lying the infant face down, exposure of the infant to tobacco smoke, prematurity, and constitutional factors, such as physiological immaturity, probable respiratory events during sleep or a dysfunction of certain brain structures, also with manifestations that appear during sleep. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1954\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1954\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Restless legs syndrome<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1954\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1954\"><div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>  Less frequent than in adults and with the same symptoms (urgent need to move the legs, in many cases accompanied by an unpleasant sensation or pain in the legs, which appears at rest, worsens in the afternoon-evening and improves when moving them). In children and adolescents there is often a family history and they are frequently associated with attention deficit hyperactivity disorder and iron deficiency, with treatment significantly improving symptoms. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1955\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1955\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Narcolepsy<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1955\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1955\"><div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>  Disorder characterized by excessive daytime sleepiness different from adults (in children, naps may be prolonged, not restorative and not irrepressible), with weakness that, unlike adults, appears more frequently in facial muscles, not always caused by emotions. Likewise, nocturnal sleep is very fragmented, with hallucinations upon awakening or falling asleep and episodes of sleep paralysis. Narcolepsy is a rare disease, most frequently in adolescence, related to autoimmunity against a specific group of neurons that synthesize a peptide called hypocretin. Symptomatic treatment of narcolepsy allows the patient to perform normal activities, with supervision and significant improvement in quality of life.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1956\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1956\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Parasomnia<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1956\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1956\"><div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>  These undesirable events during sleep appear as a consequence of a dissociation of sleep phases. In children, the most frequent are disorders of the transition between wakefulness and sleep (night terrors, sleepwalking), often related to genetic factors and with a lower prevalence in adolescence and adulthood. In very few cases it is necessary to establish a pharmacological treatment, resolving easily in most cases.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1957\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1957\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Circadian rhythm disorder<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1957\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1957\"><div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p>  In adolescents, their &#8220;biological clock&#8221; (suprachiasmatic brain nucleus) is often delayed with respect to the natural night-day cycle. As a consequence of this phenomenon, a disorder called &#8220;sleep phase delay syndrome&#8221; occurs, characterized by a delay in the reconciliation of sleep, resulting in poor sleep during the school period, when they have to wake up early. This results in fatigue and daytime sleepiness, apathy, lack of motivation, irritability, oppositionism and, ultimately, depression and school failure. The treatment of this disorder is simple, achieving the resolution of the symptoms.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-acc4ddb\" data-id=\"acc4ddb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a0f5c78 elementor-widget elementor-widget-image\" data-id=\"a0f5c78\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"894\" height=\"1200\" src=\"https:\/\/neurologiaclinica.es\/wp-content\/uploads\/Unidad-PediAtrica-de-medicina-del-sueno.jpg\" class=\"attachment-full size-full wp-image-16371\" alt=\"\" srcset=\"https:\/\/neurologiaclinica.es\/wp-content\/uploads\/Unidad-PediAtrica-de-medicina-del-sueno.jpg 894w, https:\/\/neurologiaclinica.es\/wp-content\/uploads\/Unidad-PediAtrica-de-medicina-del-sueno-768x1031.jpg 768w\" sizes=\"(max-width: 894px) 100vw, 894px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3560c3a elementor-widget elementor-widget-text-editor\" data-id=\"3560c3a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><span style=\"color: #ffffff;\">DIAGNOSTIC TESTS:  <\/span><\/h4><p>It will often be necessary to perform polysomnography (PSG), a standardized study that allows nightly recording of brain, muscle, ocular, respiratory and cardiac activity, with sensors adapted to the size of the patient.<\/p><p>On other occasions, daytime studies should be performed, such as the multiple sleep latency test (with specific considerations in preadolescents and adolescents), the maintenance of wakefulness test or the suggested immobilization test.<\/p><p>The start and end times of studies should take into account the usual sleep schedule in the different stages of childhood.<\/p><p>The room is located in a friendly, non-threatening environment and has an additional chair-bed for the caregiver (parent\/guardian) to stay with the child during the study.<\/p><p>The technical staff is trained in the performance of the technique in children and the interpretation of the tests is performed by medical specialists with special competence in pediatric records. In some cases, laboratory analysis or neuroimaging techniques may be required. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1207f6e elementor-widget elementor-widget-text-editor\" data-id=\"1207f6e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><span style=\"color: #ffffff;\">TREATMENT:  <\/span><\/h4><p>As in adults, following diagnosis, individualized treatment will be planned, which may include:<\/p><ul><li>Pharmacological therapy<\/li><li>Cognitive-behavioral treatment<\/li><li>Air ventilation devices<\/li><li>Orthodontic techniques<\/li><li>Oral devices<\/li><li>Surgical treatment<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9acfab0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9acfab0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e382b15\" data-id=\"e382b15\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42525a1 elementor-widget elementor-widget-toggle\" data-id=\"42525a1\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-6951\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-6951\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">WHAT CAN HAPPEN IF MY CHILD DOES NOT SLEEP WELL?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-6951\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-6951\"><div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div id=\"ui-id-2\" class=\"slide-holder ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-1\" aria-hidden=\"false\">\n<div class=\"slide\">\n<h3>The consequences of a sleep disorder manifest as:<\/h3>\n<ul>\n<li><strong>NEUROPSYCHIATRIC:<\/strong> daytime sleepiness, fatigue, irritability, apathy, loss of concentration, attention deficit, paradoxical hyperactivity, failure\/lower school performance.<\/li>\n<li><strong>ENDOCRINE-METABOLIC:<\/strong> weight gain, obesity, poor growth, insulin resistance (or poor control of Diabetes Mellitus).<\/li>\n<li><strong>CARDIO-VASCULAR:<\/strong> arterial hypertension, headache, cardiac arrhythmias, thrombosis, heart failure, pulmonary hypertension, etc.<\/li>\n<li><strong>IMMUNOLOGICAL<\/strong>: predisposition to infections, worse evolution of underlying pathology, etc.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-6952\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-6952\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">HEALTHY SLEEP HABITS IN CHILDREN AND ADOLESCENTS<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-6952\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-6952\"><div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"vc_tta-panel-body\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div id=\"ui-id-4\" class=\"slide-holder ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-3\" aria-hidden=\"false\">\n<div class=\"slide\">\n<ol>\n<li>\n<ol>\n<li>Maintain a regular bedtime and wake-up schedule, including weekends and vacations.<\/li>\n<li>Exercise regularly, preferably in the morning and always at least three hours before going to sleep.<\/li>\n<li>Favor exposure to light in the morning (preferably natural light), with dim light at the end of the day and darkness at night.<\/li>\n<li>Stay in bed long enough, adapting it to actual sleep needs.<\/li>\n<li>Avoid prolonged napping in children over 5 years of age (if the child needs to nap at this age, it is necessary to consult a physician).<\/li>\n<li>Avoid caffeine and caffeine-containing beverages, chocolate and large amounts of sugar and\/or liquids before bedtime. Taken in the afternoon, they alter sleep even in children who do not perceive it.<\/li>\n<li>In adolescents, alcohol and tobacco, in addition to harming health, impair sleep and their consumption should be avoided several hours before bedtime.<\/li>\n<li>Keep the bedroom at a comfortable temperature and with minimum light and noise levels.<\/li>\n<li>Before going to bed, avoid: heavy meals, intense exercise or using the computer in the two hours before going to sleep at night.<\/li>\n<li>&#8220;The bed is only for sleeping&#8221;: It should not be used to watch TV, read, operate an electronic device or cell phone.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fec20c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fec20c3\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-27b0027\" data-id=\"27b0027\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ccfbe9 elementor-widget elementor-widget-heading\" data-id=\"3ccfbe9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">GET INFO:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d489f6 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"5d489f6\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/www.neurologiaclinica.es\/neurologos-en-madrid\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">About our Programs, Units and Treatments<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Children and adolescents have a sleep pattern with specific characteristics linked to age and physiological immaturity. The UPMS is a care structure where information is obtained about the sleep of these patients, in a friendly environment that favors the child&#8217;s collaboration. The UPMS is staffed by professionals with extensive experience in their management, who work [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":16371,"parent":16591,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17257","page","type-page","status-publish","has-post-thumbnail","hentry"],"rankMath":{"parentDomain":"neurologiaclinica.es","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"The featured image should be at least 200 by 200 pixels to be picked up by Facebook and other social media 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