Child Neurology Society's Brainstorm CNS Brainstorm Episode 2 "Pediatric Hypersomnia" with guest Dr. Sujay Kansagra
Mar 4, 2025
Dr. Sujay Kansagra, an expert in pediatric sleep disorders and director of the Pediatric Neurology Sleep Medicine Program at Duke University, discusses the complexities of pediatric hypersomnia. He highlights the differences between sleepiness and fatigue in children and offers essential evaluation strategies for physicians. The conversation delves into assessing children's sleep patterns, understanding narcolepsy's diagnostic criteria, and exploring innovative treatment approaches. Dr. Kansagra emphasizes the critical role of lifestyle changes and patient education in managing sleep disorders.
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Four Key Questions for Hypersomnia
- Distinguish hypersomnia (excessive sleepiness) from fatigue as they have different causes.
- Ask about sleep quantity, quality, medications, and central causes to evaluate hypersomnia.
Detailed Sleep Quantity Assessment
- Ask detailed bedtime, sleep onset, wake times, awakenings, and naps for weekdays and weekends.
- Compare total sleep to age-based norms: 11-13 hrs (3-5 yrs), 10-12 hrs (5-10 yrs), 8.5-10 hrs (10-17 yrs).
Assess Sleep Quality Disruptors
- Evaluate medical history for reflux, pain, eczema, thyroid, psychiatric disorders disrupting sleep.
- Screen for sleep apnea by asking about snoring; also consider restless legs, periodic limb movements, caffeine, and sleep environment.