A First Family of Tasajara by Bret Harte

By Bret Harte

A primary family members of Tasajara

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They and others around them may perceive these as lapses in attention rather than actual periods of sleep. In short, signs and symptoms of narcolepsy include the following: ❚❚ ❚❚ ❚❚ ❚❚ ❚❚ excessive daytime sleepiness, even with sufficient sleep opportunity; falling asleep in school; cataplexy; hypnagogic hallucinations; and sleep paralysis. Narcolepsy occurs in approximately 25 to 50 per 100,000 people (Longstreth, Koepsell, Ton, Hendrickson, & van Belle, 2007). Although the disorder typically begins in adolescence, it is not usually identified until adulthood, often because of the subtle features that can be confused with attention lapses, poor motivation, or adolescent delayed sleep onset.

31 32 P e d i at r i c S l e e p P r o b l e m s common sleep disorders outside the scope of this book. As described below, children who present with signs and symptoms of obstructive sleep apnea (OSA), restless-legs syndrome (RLS), periodic limb movement disorder (PLMD), or narcolepsy should be referred to a sleep specialist or physician for a thorough examination and sleep evaluation. Once the medical issues are addressed, the behavioral strategies included in this book can be highly effective in improving children’s (and their parents’) sleep.

Common Pediatric Sleep Problems P 2 ediatric providers should be familiar with both medically based and behaviorally based sleep problems. Providers should know how to recognize signs of medical sleep disorders so that appropriate referrals can be made. Generally, medical sleep disorders should be treated first by the child’s primary care physician or sleep physician before implementing inter­ ventions for behavioral sleep disturbances. In this chapter, we review the more common medical sleep disorders in children, as well as the typical behaviorally based sleep disturbances for which treatments are described later in the book.

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